Kelyi Ortiz Betancourt I, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11008447 Issued in FL

Practice address

702 SW 57TH Ave
Miami, FL 33144-3922

Phone

(305) 265-3239

NPI assigned

Sep 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH Medical Group CorpGroup PAC ID 4385970623, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CH Medical Group Corp.

  • Surgery Physician
  • Miami, FL
  • NPI 1609377035
  Medicare reassignment Care Compare group NPD
• Professionals Caring for Humanity Inc

  • General Practice Physician
  • Orlando, FL
  • NPI 1750827531
  Medicare reassignment NPD
• South Health LLC

  • Pediatric Endocrinology Physician
  • Ave Maria, FL
  • NPI 1235974916
  Medicare reassignment NPD
• Magic Medical Group Inc.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1730646787
  NPD
• St Sophia Medical Staffing Corp

  • Nursing Care Agency
  • Miami, FL
  • NPI 1912890468
  NPD
• St. Sophia Nursing Care Corp.

  • Home Health Agency
  • Miami, FL
  • NPI 1679724850
  NPD (past)

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1023624921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5993 W 21ST CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162634",
            "telephone_number": "305-733-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443922",
            "telephone_number": "305-265-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ BETANCOURT",
        "first_name": "KELYI",
        "name_suffix": "I",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "FL",
            "license": "RN9476937",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "702 SW 57th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331443922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariella Ortigosa-Goggins, M.D.
• Andrea Vanessa Ortigoza
• Margarita Ortiz Acebo
• Lauren Maria Maria Ortiz Aguilera
• Gabriela Marie Ortiz Bernard
• Pedro Delio Ortiz Brito
• Eliany Ortiz Casiis
• Alejandra Sofia Ortiz Chico
• Nadiuska Ortiz Cobas
• Kirsty Joan Ortiz Cosme

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.