Elizabeth Bocanegra, APRN, NP-C, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11013197 Issued in FL

Practice address

18100 NE 19TH Ave # 102
North Miami Beach, FL 33162-1606

Phone

(305) 948-8900

NPI assigned

Jun 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nidal Radwan MD PAGroup PAC ID 3375792252, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Goldencare Home Health Agency Inc Home health agency, Miami, FL, CCN 107697

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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.

• Nidal Radwan M.D. PA

  • Family Medicine Physician
  • North Miami Beach, FL
  • NPI 1942259361
  Medicare reassignment Care Compare group NPD

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

• Goldencare Home Health Agency, Inc.

  • Home Health Agency
  • Miami, FL
  • NPI 1588865927
  Care Compare affiliation

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1235708645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19056 PARK RIDGE ST",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333322500",
            "telephone_number": "954-980-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 NE 19TH AVE # 102",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621606",
            "telephone_number": "305-948-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCANEGRA",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP-C, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9476487",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bless Medical Center of NMB LLC
• Blessing Alf, LLC
• Sheva Blobstein, MS CCC-SLP
• Barbara Desamours Blot, LM CPM
• Blue River Commercial Inc
• Nechama Bodkins, BCBA
• Leslie Boilini, CNM, NP
• Gerald Boley Jr., MD
• Bonaventure Health Services Inc
• Laura Bonczek, LCSW

• Family Nurse Practitioner in North Miami Beach, FL
• Providers in North Miami 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 Jun 21, 2021; 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.