Individual provider Active NPI

Nosa Erhabor, APRN

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1265212765
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028924 Issued in FL
Practice address
3800 W Broward Blvd Ste 101
Fort Lauderdale, FL 33312-1018
Phone
(954) 440-0983
NPI assigned
Oct 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 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 11028924 FL Primary

Addresses

Primary practice location

3800 W Broward Blvd Ste 101
Fort Lauderdale, FL 33312-1018

Mailing address

1992 NW 183Rd Ave
Pembroke Pines, FL 33029-3715
Phone (954) 297-6024

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
I20240530004113 FL Practitioner - Nurse Practitioner 9830531235 Reassigns benefits to 1 organization

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
Prestige Clinicians LLCGroup PAC ID 9234549841, 4 clinicians

Practice addresses (Care Compare)

4513 NW 31St Ave
Oakland Park, FL 33309-3403
Phone (954) 496-2599

Hospital & facility affiliations

  • Compassionate Caring Home Care, Inc Home health agency, Hallandale, FL, CCN 109324

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028924FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medm LLC CurrentSince May 1, 2024 Accepting new patients
Prestige Clinicians LLC Family CurrentSince Apr 12, 2024 Accepting new patients

Locations

3800 W Broward Blvd
Ste 101
Ft Lauderdale, FL 33312
Phone (954) 440-0983

4513 NW 31st Ave
Oakland Park, FL 33309
Phone (954) 496-2599

4513 NW 31st Ave
Ste 1
Oakland Park, FL 33309
Phone (954) 496-2599

Interoperability endpoints

  • Direct secure messaging: nosa.erhabor.1@23897.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23897/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1265212765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 NW 183RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293715",
            "telephone_number": "954-297-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W BROWARD BLVD STE 101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121018",
            "telephone_number": "954-440-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERHABOR",
        "first_name": "NOSA",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.