Individual provider Active NPI

Amely Perez Cicili

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1023648474
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005865 Issued in FL
Practice address
8187 NW 8TH St Apt 114
Miami, FL 33126-2894
Phone
(786) 379-6318
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 11005865 FL Primary

Addresses

Primary practice location

8187 NW 8TH St Apt 114
Miami, FL 33126-2894

Mailing address

8187 NW 8TH St Apt 114
Miami, FL 33126-2894
Phone (786) 379-6318

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
I20241218000764 FL Practitioner - Nurse Practitioner 8224565031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Group PAGroup PAC ID 8426391871, 11 clinicians

Practice addresses (Care Compare)

7480 Fairway Dr
Suite 106
Miami Lakes, FL 33014-6879
Phone (305) 704-0449

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005865FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Group, P.a. CurrentSince Mar 1, 2025 Accepting new patients
Floridian Health Centers, LLC CurrentSince Dec 10, 2024 Accepting new patients

Locations

5829 S Congress Ave
Atlantis, FL 33462
Phone (561) 214-9500

17395 NW 59th Ave
Hialeah, FL 33015
Phone (305) 560-5302

7480 Fairway Dr
Ste 106
Miami Lakes, FL 33014
Phone (305) 704-0449

Interoperability endpoints

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

Organizations & group practices 2

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1023648474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8187 NW 8TH ST APT 114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262894",
            "telephone_number": "786-379-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8187 NW 8TH ST APT 114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262894",
            "telephone_number": "786-379-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CICILI",
        "first_name": "AMELY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.