Individual provider Active NPI

Jessica Cardenas

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1093201659
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9402024 Issued in FL
Practice address
7331 NW 173Rd Dr Apt 100
Hialeah, FL 33015-8417
Phone
(305) 202-2520
NPI assigned
Jul 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9402024 FL
Nurse Practitioner 363L00000X APRN9402024 FL Primary

Addresses

Primary practice location

7331 NW 173Rd Dr Apt 100
Hialeah, FL 33015-8417

Mailing address

7331 NW 173Rd Dr Apt 100
Hialeah, FL 33015-8417
Phone (305) 202-2520

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
I20230322000825 FL Practitioner - Nurse Practitioner 6800260480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1150 N 35TH Ave
Suite 390
Hollywood, FL 33021-5429
Phone (954) 265-7450

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 243-3100

Hospital & facility affiliations

  • Univ of Miami Hospital and Clinics-Sylvester Compr Hospital, Miami, FL, CCN 100079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9402024FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Nurse Practitioner CurrentSince Mar 1, 2023 Accepting new patients
South Broward Hospital District CurrentSince Sep 20, 2024 Accepting new patients
South Broward Hospital District CurrentSince Sep 20, 2024 Accepting new patients
University of Miami CurrentSince Mar 1, 2023 Accepting new patients
University of Miami Current Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1150 N 35th Ave
Ste 390
Hollywood, FL 33021
Phone (954) 265-7450

300 S Park Rd
Ste 400
Hollywood, FL 33021
Phone (954) 265-7450

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

Interoperability endpoints

  • Direct secure messaging: jcardenas121781@direct.med.miami.edu
  • Direct secure messaging: jcardenas383229@mhsdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1093201659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 NW 173RD DR APT 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158417",
            "telephone_number": "305-202-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 NW 173RD DR APT 100",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330158417",
            "telephone_number": "305-202-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9402024",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9402024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.