Alexis Acosta, APRN-BC
Individual provider Active NPI Family Nurse Practitioner · Miami, FL
NPI 1235660366 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1235660366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11031696 (FL)
- Practice address
- 860 NW 42ND Ave Ste 101
Miami, FL 33126-4174 - Phone
- (305) 504-7885
- Fax
- (305) 359-7546
- NPI assigned
- Mar 21, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 23
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
860 NW 42ND Ave
FL 5
Miami, FL 33126-4172
9983 NW 127TH St
Hialeah Gardens, FL 33018-7436
PO Box
Suite 12493
Miami, FL 33101
Hospital & facility affiliations
- Jackson Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241106004065 | FL | Practitioner - Nurse Practitioner | 6507390051 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11031696 | FL | MD | Family Nurse Practitioner |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Trust of Miami Dade County Florida | Single Specialty | Current | Accepting new patients |
| Univida Medical Center LLC | Single Specialty | Current |
Accepting new patients |
| Public Health Trust of Miami Dade County Florida | Current |
Accepting new patients | |
| Public Health Trust of Miami Dade County Florida | Current |
Accepting new patients |
Locations
860 NW 42nd Ave
Fl 5
Miami, FL 33126
Phone (305) 504-7885
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
860 NW 42nd Ave
Ste 101
Miami, FL 33126
Phone 3059461526 ext. 61526
6400 SW 8th St
West Miami, FL 33144
Phone (305) 239-2515
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 11031696 | FL | Yes |
Addresses
Primary practice location
860 NW 42ND Ave Ste 101
Miami, FL 33126-4174
Mailing address
860 NW 42ND Ave FL 5
Miami, FL 33126-4172
Phone (305) 504-7885
Other providers in Miami, FL
- Yesenia Clara Acosta-Valdes
- Abigail Acosta
- Adriana Acosta
- Akemy Acosta
- Alejandro Acosta
- Ana Acosta
- Ana M. Acosta
- Andy Acosta
- Ariagna Acosta
- Ashley Marie Acosta
All providers in Miami, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.