Active NPI
Mireisy Mesa Villalonga, NP
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1093462467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11016875
- Practice address
- 11729 SW 116TH Ter
Miami, FL 33186-3982 - Phone
- (786) 306-0348
- NPI assigned
- Mar 7, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11016875 | FL | Primary |
Addresses
Primary practice location
11729 SW 116TH Ter
Miami, FL 33186-3982
Mailing address
11729 SW 116TH Ter
Miami, FL 33186-3982
Phone (786) 306-0348
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12260 SW 8TH St
Suite 154
Miami, FL 33184-1508
Phone (786) 409-5503
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health and Wellness Center of Miami Inc | Current | Accepting new patients | |
| Miami Psychiatric Services, LLC. | Current | Accepting new patients |
Locations
1671 W 37th St
Ste 4
Hialeah, FL 33012
Phone (305) 362-4594
12260 SW 8th St
Ste 154
Miami, FL 33184
Phone (786) 409-5503
759 NW 22nd Ave
Miami, FL 33125
Phone (305) 541-5245
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1043765605
-
- Family Medicine Physician
- Miami, FL
- NPI 1932504370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1093462467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11729 SW 116TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331863982",
"telephone_number": "786-306-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11729 SW 116TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331863982",
"telephone_number": "786-306-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESA VILLALONGA",
"first_name": "MIREISY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-07",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11016875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.