Hiran Alejandro Alfonso, APRN-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11016929 Issued in FL

Practice address

210 Jupiter Lakes Blvd Ste 104
Jupiter, FL 33458-7187

Phone

(561) 406-6561

NPI assigned

Dec 7, 2021

Sex

Male

Sole proprietor

Yes

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.

• The Brain Spa, LLC

  • Addiction Psychiatry Physician
  • Jupiter, FL
  • NPI 1063907517

  FL

  Medicare reassignment Care Compare group NPD
• Treasure Coast Medical Associates

  • Emergency Medicine Physician
  • Jensen Beach, FL
  • NPI 1992791198

  FL

  Medicare reassignment NPD
• Eon Care Clinicians PC

  • Nurse Practitioner
  • Germantown, MD
  • NPI 1073332490

  FL, Nurse Practitioner

  Medicare reassignment NPD
• Hartford Healthcare Medical Group Specialists, PLLC

  • Surgery Physician
  • Hartford, CT
  • NPI 1023584216

  CT, Nurse Practitioner

  Medicare reassignment NPD
• Onmed Professional Services PA

  • General Practice Physician
  • Cameron, TX
  • NPI 1023746674

  TX

  Medicare reassignment
• Treasure Coast Medical Associates

  • Emergency Medicine Physician
  • Okeechobee, FL
  • NPI 1528455847
  NPD
• Hartford Healthcare Medical Group Specialists LLC

  • Customized Equipment (DME)
  • Groton, CT
  • NPI 1295367068
  NPD
• Banyan Detox, LLC

  • Substance Abuse Rehabilitation Facility
  • Stuart, FL
  • NPI 1407221328
  NPD (past)
• Gastroenterology Specialist Inc

  • Gastroenterology Physician
  • Palm Beach Gardens, FL
  • NPI 1336355718
  NPD (past)
• Palm Beach Pain LLC

  • Interventional Pain Medicine Physician
  • Palm Beach Gardens, FL
  • NPI 1386183549
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Brain Spa LLC 11 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in FL, TX, CT3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: halfonso19224@jupitermedicalcenter.direct-ci.com
• Direct secure messaging: hiran.alfonso.1@30520.direct.athenahealth.com
• Direct secure messaging: hiran.alfonso.1@30885.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2025.

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1083372098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HIGHWAY",
            "address_2": "HHC - CVO",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 104",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587187",
            "telephone_number": "561-406-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1094 Killingly Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Dayville",
            "state": "CT",
            "postal_code": "062412187",
            "country_code": "US",
            "telephone_number": "727-601-4513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "HIRAN",
        "middle_name": "ALEJANDRO",
        "credential": "APRN-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11016929",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "14111",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1168872",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "NP003015",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "3-002144",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "406934",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11016929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Laura Aldrich
• Aleksandra Kraeher MD PA
• Elizabeth Grace Alessi, DPT
• Gigi Monique Alexander, MBA, MSW, LCSW
• David Robert Alfieri, PHARMD
• Meryen Alfonso
• Khaled Algashaamy, M.D.
• Renee Ali-Samhoul, PA-C
• Alice E Richman
• Dayna Alkins

• All providers in Jupiter, FL
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.