Individual provider Active NPI

Mode M Hilaire, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1073021630
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11009072 Issued in FL
Practice address
4982 SW 127TH Ave
Miramar, FL 33027-5815
Phone
(786) 704-1557
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11009072 FL Primary
Registered Nurse 163W00000X 9300927 FL

Addresses

Primary practice location

4982 SW 127TH Ave
Miramar, FL 33027-5815

Mailing address

4982 SW 127TH Ave
Miramar, FL 33027-5815
Phone (786) 704-1557

Other practice location 1

4212 SW 124th Way
Miramar, FL 33027-6005
Phone (786) 704-1557

Other practice location 2

4982 SW 127th Ave
Miramar, FL 33027-5815
Phone (786) 704-1557

Other practice location 3

4982 SW 127th Ave
Miramar, FL 33027-5815
Phone (786) 704-1557

Other identifiers 1

IdentifierTypeStateIssuer
H4606553658010OtherFLDL

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
I20201229000161 FL Practitioner - Nurse Practitioner 4284047820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4310 Metro Pkwy
Suite 205
Fort Myers, FL 33916-9416
Phone (239) 223-2751

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9300927FLMDRegistered Nurse
11009072FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC Single Specialty CurrentSince Dec 7, 2020 Accepting new patients
Bonita Springs Retirement Village, Inc. Single Specialty CurrentSince Dec 7, 2020 Accepting new patients
We Care Mental Health Clinic Single Specialty CurrentSince Oct 8, 2023 Accepting new patients

Locations

11371 Cortez Blvd
Ste 210
Brooksville, FL 34613
Phone (352) 616-7600

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

11349 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 597-0022

425 Commercial Ct
Ste C
Venice, FL 34292
Phone (941) 244-4377

8026 S Tamiami Trl
Ste 103
Venice, FL 34293
Phone (941) 441-9232

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: mode.hilaire.1@13142.direct.athenahealth.com

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1073021630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4982 SW 127TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275815",
            "telephone_number": "786-704-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4982 SW 127TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330275815",
            "telephone_number": "786-704-1557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4212 SW 124th Way",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330276005",
            "country_code": "US",
            "telephone_number": "786-704-1557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4982 SW 127th Ave",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330275815",
            "country_code": "US",
            "telephone_number": "786-704-1557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4982 SW 127th Ave",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330275815",
            "country_code": "US",
            "telephone_number": "786-704-1557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILAIRE",
        "first_name": "MODE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11009072",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9300927",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DL",
            "identifier": "H4606553658010",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.