Individual provider Active NPI

Carmelle Alexis Casimir, ARNP

  • Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1003177650
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9225498 Issued in FL
Practice address
1776 N Pine Island Rd Ste 106
Plantation, FL 33322-5200
Phone
(954) 376-3739
Fax
(855) 618-6655
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9225498 FL Primary

Addresses

Primary practice location

1776 N Pine Island Rd Ste 106
Plantation, FL 33322-5200

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 266-4200

Other practice location 1

6800 Kimberly Blvd
North Lauderdale, FL 33068-2547
Phone (954) 984-9056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000698 FL Practitioner - Nurse Practitioner 5799932224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4774 W Commercial Blvd
Tamarac, FL 33319-2878
Phone (754) 222-0893

Hospital & facility affiliations

  • Independence Home Health of South Florida Home health agency, Stuart, FL, CCN 109433
  • Working Nurses Healthcare LLC Home health agency, Margate, FL, CCN 687057
  • The Nurses Guild of the Palm Beaches Inc Home health agency, Boca Raton, FL, CCN 109701
  • The Nurses Guild Inc Home health agency, Miramar, FL, CCN 108276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9225498FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Internal Medicine Associates CurrentSince Feb 1, 2025 Accepting new patients
Unix Healthcare LLC CurrentSince Jun 13, 2024 Accepting new patients
Prime Care Nurses Inc. CurrentSince Jun 13, 2024 Accepting new patients
Mason Hershorin MSN Arnp Inc. Nurse Practitioner Past Accepting new patients
Integrated-1 Corp Past Accepting new patients

Locations

1899 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 725-7291

4774 W Commercial Blvd
Tamarac, FL 33319
Phone (754) 222-0893

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJFCD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1003177650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-266-4200",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 N PINE ISLAND RD STE 106",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225200",
            "telephone_number": "954-376-3739",
            "fax_number": "855-618-6655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 Kimberly Blvd",
            "address_purpose": "LOCATION",
            "city": "North Lauderdale",
            "state": "FL",
            "postal_code": "330682547",
            "country_code": "US",
            "telephone_number": "954-984-9056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASIMIR",
        "first_name": "CARMELLE",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9225498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.