Individual provider Active NPI

Osmel Santiesteban Molina, FNP-C

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1033827340
Registry record updated May 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11022911 Issued in FL
Practice address
120 SJ St Apt 6
Lake Worth, FL 33460-4144
Phone
(561) 234-7925
NPI assigned
Nov 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 11022911 FL Primary

Addresses

Primary practice location

120 SJ St Apt 6
Lake Worth, FL 33460-4144

Mailing address

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (800) 226-8874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230404002565 FL Practitioner - Nurse Practitioner 8123493103 Reassigns benefits to 2 organizations
I20260326001367 GA Practitioner - Nurse Practitioner 8123493103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QSM-Ga, IncGroup PAC ID 3779842729, 12 clinicians
QSM-FL, IncGroup PAC ID 0648548982, 19 clinicians

Practice addresses (Care Compare)

2255 Anthony Rd
Macon, GA 31204-5823
Phone (478) 784-7900

3800 S Ocean Dr
Suite 209
Hollywood, FL 33019-2915
Phone (800) 226-8874

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11022911FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Surgical Management Inc Multi-Specialty CurrentSince Jul 17, 2023 Accepting new patients
QSM-Ga, Inc Multi-Specialty Past Accepting new patients

Locations

23315 Blue Water Cir
Boca Raton, FL 33433
Phone (561) 368-1033

9945 Central Park Blvd N
Boca Raton, FL 33428
Phone (561) 483-0498

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

1504 Seabreeze Ave
Jax Bch, FL 32250
Phone (407) 216-0101

2180 Hypoluxo Rd
Lantana, FL 33462
Phone (561) 582-3000

9400 SW 137th Ave
Miami, FL 33186
Phone (305) 385-8290

2040 Town Center Blvd
Orange Park, FL 32003
Phone (904) 293-1311

175 Villa Nueva Ave NE
Palm Bay, FL 32907
Phone (313) 574-2965

8325 University Pkwy
Pensacola, FL 32514
Phone (850) 324-9633

48 High Point Rd
Tavernier, FL 33070
Phone (305) 853-0799

3803 Pga Blvd
West Palm Beach, FL 33410
Phone (561) 622-4047

4847 David S Mack Dr
West Palm Beach, FL 33417
Phone (561) 209-6123

Organizations & group practices 3

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715990400000",
    "number": "1033827340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "800-226-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SJ ST APT 6",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604144",
            "telephone_number": "561-234-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIESTEBAN MOLINA",
        "first_name": "OSMEL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-05-18",
        "certification_date": "2024-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11022911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.