Active NPI
Margaret Lynn Decosta, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
National Provider Identifier
1134828122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11024876
- 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
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11024876 | Other | FL | LICENSE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11024876 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The 40 20 Collective LLC | Single Specialty | Current | Accepting new patients |
Locations
14143 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (720) 594-5556
Interoperability endpoints
- margaret.decosta.1@26636.direct.athenahealth.com
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lakewood, CO
- NPI 1154050128
CO, Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.