Active NPI
Patrick Nuss, AGPCNP-BC
- Gerontology Nurse Practitioner
- Fort Lauderdale, FL
National Provider Identifier
1023889722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 11030774
- Practice address
- 700 SE 3Rd Ave Ste 301
Fort Lauderdale, FL 33316-1154 - Phone
- (954) 767-0887
- Fax
- (954) 767-0802
- NPI assigned
- Jan 11, 2024
- Last updated
- Jun 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 11030774 | FL | Primary |
Addresses
Primary practice location
700 SE 3Rd Ave Ste 301
Fort Lauderdale, FL 33316-1154
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other practice location 1
2400 Biscayne Blvd
Miami, FL 33137-4516
Phone (305) 764-3773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9328219 | FL | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1023889722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "323-467-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SE 3RD AVE STE 301",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161154",
"telephone_number": "954-767-0887",
"fax_number": "954-767-0802"
}
],
"practiceLocations": [
{
"address_1": "2400 Biscayne Blvd",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331374516",
"country_code": "US",
"telephone_number": "305-764-3773",
"fax_number": "877-259-8727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUSS",
"first_name": "PATRICK",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-11",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "11030774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- Anderson Nurse, RN
- Nursecare, Inc.
- Nursing Network, Inc.
- Nurturing Well-Being Home Care, LLC
- Justin Nus, DDS
- Nutraco LLC
- Nutrition Connections, LLC
- Nutrition of Mind Therapy & Wellness (Beyond Yourself Counseling & Wellness)
- Alexandria E Nuzzolilli
- NW Federated Woman's Club Sr Daycare & Alzheimers (Northwest Federated Woman's Club of Broward County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.