Individual provider Active NPI

Maria De Los Angeles Molina, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1194485979
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016858 Issued in FL
Practice address
10300 SW 72ND St Ste 356
Miami, FL 33173-3020
Phone
(786) 703-8061
Fax
(786) 801-1547
NPI assigned
Dec 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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 APRN11016858 FL Primary

Addresses

Primary practice location

10300 SW 72ND St Ste 356
Miami, FL 33173-3020

Mailing address

14491 SW 22ND Ter
Miami, FL 33175-6336
Phone (786) 231-8341

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
I20220502000847 FL Practitioner - Nurse Practitioner 5597991950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10300 SW 72ND St
Suite 356
Miami, FL 33173-3020
Phone (786) 703-8061

Hospital & facility affiliations

  • Home Life, LLC Home health agency, Miami, FL, CCN 109363
  • MGN Healthcare Services Home health agency, Miami Lakes, FL, CCN 103179
  • Improving Home Health Agency Corp Home health agency, Doral, FL, CCN 687250
  • Ace Home Health Services Corp Home health agency, Sweetwater, FL, CCN 108250

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intercare Home Health Services Inc Current Accepting new patients
Intercare Home Health Services Inc Current Accepting new patients
Maria a Molina Aprn PA CurrentSince Apr 18, 2022 Accepting new patients

Locations

10300 SW 72nd St
Ste 356
Miami, FL 33173
Phone (786) 703-8061

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Intercare Home Health Services IncMiami, FL, CCN 108389 Home health agency 5% Or Greater Direct Ownership Interest
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee (100%)
May 6, 2015
May 6, 2015
May 6, 2015
May 6, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1194485979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14491 SW 22ND TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756336",
            "telephone_number": "786-231-8341",
            "fax_number": "786-801-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 356",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733020",
            "telephone_number": "786-703-8061",
            "fax_number": "786-801-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "MARIA",
        "middle_name": "DE LOS ANGELES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.