JUNIOR MANUEL PERALTA PENA (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1487328910
Psychiatric/Mental Health Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JUNIOR MANUEL PERALTA PENA (NURSE PRACTITIONER)
10780 SW 43RD TER
MIAMI, FL 331654835
Phone: (786) 778-0968
Type: Mailing
3663 S MIAMI AVE
MIAMI, FL 331334253
Phone: (786) 778-0968
Type: Location
486 Fisherman St
Opa Locka, FL 330543818
Phone: (786) 778-0968
Type: Location
18373 NW 27th Ave
Carol City, FL 330563169
Phone: (786) 778-0968
Type: Location
5705 W 12TH LN
HIALEAH, FL 330122266
Phone: (786) 778-0968
Type: Mailing
9050 PINES BLVD STE 150
PEMBROKE PINES, FL 330246400
Phone: (954) 872-0555
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $341.
Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($150).
Total Amount
$341
General + Research + Ownership
Payments
9
Total payment records
General Amount
$341
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-07-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230706001897 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33165)
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