NPIMap

Individual provider Active NPI

Alexis Acosta, APRN-BC

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1235660366
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11031696 Issued in FL
Practice address
680 N University Dr
Pembroke Pines, FL 33024-6738
Phone
(954) 981-2555
Fax
(954) 538-6850
NPI assigned
Mar 21, 2017
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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 APRN11031696 FL Primary

Addresses

Primary practice location

680 N University Dr
Pembroke Pines, FL 33024-6738

Mailing address

8333 NW 53Rd St FL 6
Doral, FL 33166-4783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241106004065 FL Practitioner - Nurse Practitioner 6507390051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031696FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Single Specialty Current Accepting new patients
Univida Medical Center LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Dec 8, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Dec 8, 2025 Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

860 NW 42nd Ave
Fl 5
Miami, FL 33126
Phone (305) 504-7885

860 NW 42nd Ave
Ste 101
Miami, FL 33126
Phone (305) 946-1526

6400 SW 8th St
West Miami, FL 33144
Phone (305) 239-2515

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1235660366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST FL 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246738",
            "telephone_number": "954-981-2555",
            "fax_number": "954-538-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "ALEXIS",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.