Individual provider Active NPI

Marisol D Casas Buchillon, ARNP

  • Family Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1003328600
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9377480 Issued in FL
Practice address
19150 NW 44TH Ave
Miami Gardens, FL 33055-2145
Phone
(786) 663-8524
NPI assigned
Nov 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9377480 FL Primary

Addresses

Primary practice location

19150 NW 44TH Ave
Miami Gardens, FL 33055-2145

Mailing address

19150 NW 44TH Ave
Miami Gardens, FL 33055-2145
Phone (786) 663-8524

Other identifiers 2

IdentifierTypeStateIssuer
F10171139OtherFLAMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION
ARNP9377480OtherFLARNP LICENSE VERIFICATIO

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
I20180503000869 FL Practitioner - Nurse Practitioner 7012271851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Erick Unlimited II, LLCGroup PAC ID 3971989922, 4 clinicians

Practice addresses (Care Compare)

875 E 41St St
Hialeah, FL 33013-2453
Phone (786) 447-2391

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erick Unlimited II, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

875 E 41st St
Hialeah, FL 33013
Phone (786) 447-2391

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1003328600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19150 NW 44TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552145",
            "telephone_number": "786-663-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 NW 44TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552145",
            "telephone_number": "786-663-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAS BUCHILLON",
        "first_name": "MARISOL",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9377480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION",
            "identifier": "F10171139",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE VERIFICATIO",
            "identifier": "ARNP9377480",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

Verify at the official NPI Registry.