Ivan Pimienta Concepcion, APRN, FNP-C - Medicare Nurse Practitioner in Hialeah, FL

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Ivan Pimienta Concepcion, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hialeah, Florida. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Nova Gastro Group Llc and his current practice location is 6187 Nw 167th St Ste H34, Hialeah, Florida. You can reach out to his office (for appointments etc.) via phone at (786) 558-5657.

Ivan Pimienta Concepcion is licensed to practice in Florida (license number APRN11043548) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134096399.

Contact Information

Ivan Pimienta Concepcion, APRN, FNP-C
6187 Nw 167th St Ste H34,
Hialeah, FL 33015-4365
(786) 558-5657
(786) 542-5722

Map and Direction




Provider's Profile

Full NameIvan Pimienta Concepcion
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location6187 Nw 167th St Ste H34, Hialeah, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ivan Pimienta Concepcion graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1134096399
  • Provider Enumeration Date: 10/22/2025
  • Last Update Date: 08/31/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2668959008
  • Enrollment ID: I20260116000526

Medical Identifiers

Medical identifiers for Ivan Pimienta Concepcion such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134096399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11043548 (Florida)Secondary
363LF0000XNurse Practitioner - Family APRN11043548 (Florida)Primary
246ZC0007XSpecialist/technologist, Other - Surgical Assistant 22-161 (Florida)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nova Gastro Group Llc87295952515

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ivan Pimienta Concepcion allows following entities to bill medicare on his behalf.
Entity NameNova Medical Services - Surgical Division LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205548831
PECOS PAC ID: 0244601060
Enrollment ID: O20230113001208
Entity NameNova Gastro Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124815196
PECOS PAC ID: 8729595251
Enrollment ID: O20250729002230
Entity NameNew Life Wellness Center LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932924818
PECOS PAC ID: 3577056472
Enrollment ID: O20251129000581

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan Pimienta Concepcion is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ivan Pimienta Concepcion, APRN, FNP-C
6187nw 167th St H34,
Hialeah, FL 33015

Ph: (786) 558-5675		Ivan Pimienta Concepcion, APRN, FNP-C
6187 Nw 167th St Ste H34,
Hialeah, FL 33015-4365

Ph: (786) 558-5657

Reviews and Comments


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Phone: 786-520-1799    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.