Individual provider Active NPI

Margaret Lynn Decosta, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1134828122
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11024876 Issued in FL
Practice address
1600 NE 1St Ave Apt 2808
Miami, FL 33132-1272
Phone
(772) 285-1757
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 11024876 FL Primary

Addresses

Primary practice location

1600 NE 1St Ave Apt 2808
Miami, FL 33132-1272

Mailing address

1600 NE 1St Ave Apt 2808
Miami, FL 33132-1272

Other identifiers 1

IdentifierTypeStateIssuer
11024876OtherFLLICENSE TYPE: ADVANCED PRACTICE REGISTERED NURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250211000124 CO Practitioner - Nurse Practitioner 9931639697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The 40 20 Collective LLC 5 clinicians

Practice addresses (Care Compare)

14143 Denver W Pkwy
Suite 100
Lakewood, CO 80401-3275
Phone (720) 594-5556

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11024876FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The 40 20 Collective LLC Single Specialty CurrentSince Dec 1, 2024 Accepting new patients

Locations

14143 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (720) 594-5556

Interoperability endpoints

  • Direct secure messaging: margaret.decosta.1@26636.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26636/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1134828122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 NE 1ST AVE APT 2808",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 NE 1ST AVE APT 2808",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321272",
            "telephone_number": "772-285-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSTA",
        "first_name": "MARGARET",
        "middle_name": "LYNN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11024876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TYPE:  ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "11024876",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.