Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497570022 Individual Practitioner Female Practitioner

Kelly Simon Mengana

Nurse Practitioner - Pediatrics • Miami, FL

Professional Overview & Biography Verified Profile Summary

Kelly Simon Mengana is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Miami, FL. Practice services are available at 3100 SW 62ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3100 Sw 62nd Ave

Miami, FL 331553009

Telephone 3056666511
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
115 Specialists

Practicing in Miami, FL (1565 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-29
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License FL 11036519

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Patrice Neil , PA-C

Physician Assistant - Medical

NPI 1003186008

Physician Assistant (Certified)

Dr. Andres Rodriguez , MD

Student in an Organized Health Care Education/Training Program

NPI 1003498338

Doctor of Medicine (M.D.)

NPI 1013611896

Doctor of Osteopathic Medicine (D.O.)

Dr. Disleny Cruz , DNP, APRN, CPNP-AC

Nurse Practitioner - Pediatrics, Critical Care

NPI 1013640226

Doctor of Nursing Practice, Advanced Practice Registered Nurse, CPNPAC

NPI 1023268380

Doctor of Medicine (M.D.)

Miriam Klein , PT

Physical Therapist

NPI 1023397353

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 29, 2025

Registered at 3100 SW 62ND AVE, MIAMI, FL 331553009 (Tel: 3056666511)

📍
Updated Business Mailing Address January 29, 2025

Registered at 3100 SW 62ND AVE, MIAMI, FL 331553009 (Tel: 3056666511)

NPI Profile Active December 06, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2024

Registered at 13562 SW 47TH LN, MIAMI, FL 331753811 (Tel: 3055620919)

📍
Updated Business Mailing Address December 06, 2024

Registered at 13562 SW 47TH LN, MIAMI, FL 331753811 (Tel: 3055620919)

👤
Provider Name / Credentials Updated December 06, 2024

Recorded as KELLY SIMON MENGANA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2024

Nurse Practitioner (License #11036519 in FL)

🟢
Initial NPI Registration & Enumeration November 19, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497570022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2024
Last Update: January 29, 2025
Sole Proprietor: No

Mailing Address

3100 Sw 62nd Ave

Miami, FL 331553009

Phone: 3056666511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.