Individual provider Active NPI

Jose Desmarais

  • Psychiatric/Mental Health Nurse Practitioner
  • Loxahatchee, FL
National Provider Identifier
1255877932
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9281329 Issued in FL
Practice address
12953 Palms West Dr Ste 102
Loxahatchee, FL 33470
Phone
(561) 793-1713
Fax
(561) 793-3242
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 9281329 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9281329 FL Primary

Addresses

Primary practice location

12953 Palms West Dr Ste 102
Loxahatchee, FL 33470

Mailing address

6101 Blue Lagoon Dr Ste 400
Miami, FL 33126-2051
Phone (561) 793-1713

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jose.desmarais@conviva.eclinicaldirectplus.com Direct

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
I20181018002887 FL Practitioner - Nurse Practitioner 6103179221 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9281329FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 13, 2025 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Jan 1, 2021 Accepting new patients
Trust E-Psychiatry LLC Psychiatric/Mental Health CurrentSince May 6, 2025 Accepting new patients
Sincere E-Psychiatry LLC Psychiatric/Mental Health CurrentSince Oct 6, 2022 Accepting new patients

Locations

3469 W Boynton Beach Blvd
Ste 2
Boynton Beach, FL 33436
Phone (561) 299-0136

16244 S Military Trl
Ste 130
Delray Beach, FL 33484
Phone (561) 455-2603

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

6101 Blue Lagoon Dr
Ste 400
Miami, FL 33126
Phone (305) 500-2114

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

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1700 SE Hillmoor Dr
Ste 500
Port St Lucie, FL 34952
Phone (772) 335-3200

12953 Palms West Dr
Ste 102
Village of Wellington, FL 33470
Phone (561) 793-1713

Interoperability endpoints

  • Direct secure messaging: jose.desmarais@conviva.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1255877932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262051",
            "telephone_number": "561-793-1713",
            "fax_number": "561-793-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12953 PALMS WEST DR STE 102",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "33470",
            "telephone_number": "561-793-1713",
            "fax_number": "561-793-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMARAIS",
        "first_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9281329",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9281329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.desmarais@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12953 Palms West Dr Ste 102",
            "city": "Loxahatchee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.