Active NPI
Jose Andro Cancio, MSN-APRN-PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- North Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11006259
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11006259 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dade Family Counseling Community Mental Health Center, Inc | Current | Accepting new patients | |
| Assertive Comprehensive Care Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| Grow Healthcare Group PA | Mental Health | Current | 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
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Miami, FL
- NPI 1952186561
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1427055417
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.