Individual provider Active NPI

Betsy Caballero de Pina, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1104577378
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017067 Issued in FL
Practice address
16111 SW 72ND Ter
Miami, FL 33193-2942
Phone
(786) 308-9986
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11017067 FL Primary

Addresses

Primary practice location

16111 SW 72ND Ter
Miami, FL 33193-2942

Mailing address

16111 SW 72ND Ter
Miami, FL 33193-2942
Phone (786) 308-9986

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
I20220923000455 FL Practitioner - Nurse Practitioner 8022493238 Reassigns benefits to 2 organizations
Practice locations: Miami, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11017067FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Associates, LLC. CurrentSince Jul 19, 2022 Accepting new patients
Guidewell Sanitas I, LLC Current Accepting new patients
Guidewell Sanitas I, LLC CurrentSince May 1, 2023 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

600 NE 22nd Ter
Ste 304
Homestead, FL 33033

606 W Flagler St
Miami, FL 33130
Phone (305) 545-9292

10860 SW 88th St
Miami, FL 33176
Phone (305) 552-5545

Interoperability endpoints

  • Direct secure messaging: betsy.caballerodepina@wwmp.eclinicaldirectplus.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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1104577378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16111 SW 72ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932942",
            "telephone_number": "786-308-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16111 SW 72ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932942",
            "telephone_number": "786-308-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO DE PINA",
        "first_name": "BETSY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.