Jefferson Dias, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11018526 Issued in FL

Practice address

3402 N Andrews Avenue Ext
Pompano Beach, FL 33064-2067

Phone

(954) 368-1302

NPI assigned

Jul 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, IN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of Texas Medical Branch at Galveston, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mecnb LLCGroup PAC ID 7911959341, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mecnb, LLC

  • General Practice Physician
  • Palm Springs, FL
  • NPI 1427209352
  Medicare reassignment Care Compare group
• Lutheran Medical Group LLC

  • Cardiovascular Disease Physician
  • Fort Wayne, IN
  • NPI 1164662805
  Medicare reassignment
• Mecnb, LLC

  • Urgent Care Clinic/Center
  • Stuart, FL
  • NPI 1174957468
  NPD
• Mecnb, LLC

  • Urgent Care Clinic/Center
  • North Palm Beach, FL
  • NPI 1972959104
  NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1154054260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 N ANDREWS AVENUE EXT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330642067",
            "telephone_number": "954-368-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 N ANDREWS AVENUE EXT",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330642067",
            "telephone_number": "954-368-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAS",
        "first_name": "JEFFERSON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DHG Medical Centers #3 Inc
• Diabetic Care Network, Inc.
• Diabetic Care RX LLC
• Diabetic Care RX LLC
• Diana C Hodarnau MD PA
• Ebony Cruz Inez Diaz
• Edith Diaz, BS
• Juliet Adela Diaz
• Lissainet Diaz, BCBA
• Laura Kathleen Dibenedetto

• Family Nurse Practitioner in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.