Individual provider Active NPI

Jose Andro Cancio, MSN-APRN-PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Miami, FL
National Provider Identifier
1245864164
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11006259 Issued in FL
Practice address
12550 Biscayne Blvd Ste 507
North Miami, FL 33181-2544
Phone
(305) 204-1209
Fax
(305) 402-0959
NPI assigned
Feb 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Family Nurse Practitioner 363LF0000X APRN11006259 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11006259 FL Primary

Addresses

Primary practice location

12550 Biscayne Blvd Ste 507
North Miami, FL 33181-2544

Mailing address

20733 NW 1St St
Pembroke Pines, FL 33029-3514
Phone (305) 204-1209

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
I20200803002500 FL Practitioner - Nurse Practitioner 2466877717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Assertive Comprehensive Care IncGroup PAC ID 7214381052, 3 clinicians

Practice addresses (Care Compare)

7900 Oak LN
Suite 400
Miami Lakes, FL 33016-6001
Phone (305) 204-1209

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11006259FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dade Family Counseling Community Mental Health Center, Inc CurrentSince Nov 20, 2023 Accepting new patients
Assertive Comprehensive Care Inc Psychiatric/Mental Health CurrentSince Aug 29, 2023 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 19, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9350 Sunset Dr
Ste 151
Miami, FL 33173
Phone (786) 548-1022

1951 NW 17th Ave
Miami, FL 33125
Phone (305) 265-9220

7900 Oak Ln
Ste 400
Miami Lakes, FL 33016
Phone (203) 350-2116

12550 Biscayne Blvd
Ste 507
North Miami, FL 33181
Phone (305) 204-1209

650 NW 180th Ter
Ste 101
Pembroke Pines, FL 33029
Phone (305) 204-1209

Interoperability endpoints

  • Direct secure messaging: canciopmhnp@assertivecomprehensivecare.kareodirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1245864164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20733 NW 1ST ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293514",
            "telephone_number": "305-204-1209",
            "fax_number": "305-402-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD STE 507",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812544",
            "telephone_number": "305-204-1209",
            "fax_number": "305-402-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCIO",
        "first_name": "JOSE",
        "middle_name": "ANDRO",
        "credential": "MSN-APRN-PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-29",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006259",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11006259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.