Yamilka Abella-Radjai, APRN
Individual provider Active NPI Family Nurse Practitioner · Coral Springs, FL
NPI 1104470558 · NPPES record last updated Dec 24, 2024
Key facts
- NPI
- 1104470558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11003147 (FL)
- Practice address
- 2855 N University Dr Ste 220
Coral Springs, FL 33065-1403 - Phone
- (954) 688-7192
- Fax
- (954) 866-6356
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2855 N University Dr
Suite 220
Coral Springs, FL 33065-1403
Phone (954) 688-7192
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201029000388 | FL | Practitioner - Nurse Practitioner | 5890105001 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11003147 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abella Family Medical Group Corp | Current |
Accepting new patients |
Locations
2855 N University Dr
Ste 220
Coral Springs, FL 33065
Phone (786) 317-1544
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBFGDD/Endpoint/EBFGDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11003147 | FL | Yes |
Addresses
Primary practice location
2855 N University Dr Ste 220
Coral Springs, FL 33065-1403
Mailing address
2855 N University Dr Ste 220
Coral Springs, FL 33065-1403
Phone (954) 688-7192
Other practice location 1
9631 NW 51st St
Coral Springs, FL 33076-2461
Phone (786) 263-2336
Other practice location 2
9631 NW 51st St
Coral Springs, FL 33076-2461
Phone (786) 263-2336
Other providers in Coral Springs, FL
- Abc Dental, LLP
- Farahnaz Abdoly
- Monica Mikhail Abdou
- Jordan Abecasis
- Abella Family Medical Group Corp
- Maricon Abello
- Elina Abla
- John A Aboud
- Abr Union General Corp
- Abel Mundakakuzhiyil Abraham
All providers in Coral Springs, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.