Individual provider Active NPI

Chantel Pita

  • Acute Care Nurse Practitioner
  • Miami Beach, FL
National Provider Identifier
1265105530
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11016098 Issued in FL
Practice address
4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893
Phone
(305) 674-2950
NPI assigned
Jul 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11016098 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893

Mailing address

14801 SW 90TH Ter
Miami, FL 33196-1468

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
I20221026003198 FL Practitioner - Nurse Practitioner 1850767237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.7 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
56.03

Merit-based Incentive Payment System (MIPS)

Final score
90.1 of 100Reported as group
Quality
93.89
Promoting interoperability
100
Improvement activities
40
Cost
60.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016098FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurg LLC CurrentSince Jul 23, 2022 Accepting new patients

Locations

4302 Alton Rd
Ste 810
Miami Beach, FL 33140
Phone (305) 531-6766

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

4302 Alton Rd
Ste 830
Miami Beach, FL 33140
Phone (305) 674-2404

323 Sunny Isles Blvd
Ste 602603
Sunny Isles Beach, FL 33160

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71720

Organizations & group practices 1

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": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1265105530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14801 SW 90TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 810",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402893",
            "telephone_number": "305-674-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITA",
        "first_name": "CHANTEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11016098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.