Individual provider Active NPI

Marie Nynon Fleurgin, AUTONOMOUS-APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1245281500
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2527972-APRN Issued in FL
Practice address
58 NW 167TH St
Miami, FL 33162-3401
Phone
(305) 956-7787
Fax
(305) 956-7716
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 2527972-APRN FL Primary

Addresses

Primary practice location

58 NW 167TH St
Miami, FL 33162-3401

Mailing address

58 NW 167TH St
Miami, FL 33162-3401
Phone (305) 956-7787

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
I20041008000101 FL Practitioner - Nurse Practitioner 3577522119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real-Care Medical IncGroup PAC ID 1557313947, 2 clinicians

Practice addresses (Care Compare)

58 NE 167TH St
Miami, FL 33162-3401
Phone (305) 956-7787

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2527972-APRNFLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Real-Care Medical Inc CurrentSince Oct 20, 2004 Accepting new patients
Real Care Medical, Inc. Past Accepting new patients

Locations

58 NE 167th St
North Miami Beach, FL 33162
Phone (305) 944-1610

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGJBCA/Endpoint/BGJBCA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1245281500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623401",
            "telephone_number": "305-956-7787",
            "fax_number": "888-314-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331623401",
            "telephone_number": "305-956-7787",
            "fax_number": "305-956-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEURGIN",
        "first_name": "MARIE",
        "middle_name": "NYNON",
        "name_prefix": "Mrs.",
        "credential": "AUTONOMOUS-APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2527972-APRN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.