Individual provider Active NPI

Annie Martha Suarez Bas, SA-C

  • Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1023580404
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11015051 Issued in FL
Practice address
6701 N University Dr Apt 101
Tamarac, FL 33321-4030
Phone
(678) 517-9386
NPI assigned
Dec 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 18-431 FL
Nurse Practitioner 363L00000X APRN11015051 FL Primary

Addresses

Primary practice location

6701 N University Dr Apt 101
Tamarac, FL 33321-4030

Mailing address

6701 N University Dr Apt 101
Tamarac, FL 33321-4030
Phone (678) 517-9386

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
I20211014000218 FL Practitioner - Nurse Practitioner 2860890357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Consultants P aGroup PAC ID 8921137787, 4 clinicians

Practice addresses (Care Compare)

7421 N University Dr
Suite 112
Tamarac, FL 33321-2952
Phone (954) 726-0112

Hospital & facility affiliations

  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224

Merit-based Incentive Payment System (MIPS)

Final score
94.14 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18-431FLMDSurgical Assistant
APRN11015051FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Consultants P a CurrentSince Sep 20, 2021 Accepting new patients

Locations

7421 N University Dr
Ste 112
Tamarac, FL 33321
Phone (954) 726-0112

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.

Hospital & facility affiliations 1

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": "1545350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1023580404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 N UNIVERSITY DR APT 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214030",
            "telephone_number": "678-517-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 N UNIVERSITY DR APT 101",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214030",
            "telephone_number": "678-517-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ BAS",
        "first_name": "ANNIE",
        "middle_name": "MARTHA",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-21",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "18-431",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11015051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.