Individual provider Active NPI

Macmelsie Marrero Delgado

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1265213292
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028124 Issued in FL
Practice address
6138 Cleveland St Apt 3
Hollywood, FL 33024-6076
Phone
(786) 267-8985
NPI assigned
Oct 5, 2023
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 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 11028124 FL Primary

Addresses

Primary practice location

6138 Cleveland St Apt 3
Hollywood, FL 33024-6076

Mailing address

6138 Cleveland St Apt 3
Hollywood, FL 33024-6076
Phone (786) 267-8985

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
I20240815004744 FL Practitioner - Nurse Practitioner 6901344381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oscar Mendez MD PAGroup PAC ID 8820175680, 4 clinicians

Practice addresses (Care Compare)

5950 W Oakland Park Blvd
Suite 300
Lauderhill, FL 33313-1260
Phone (954) 717-4066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028124FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oscar Mendez MD PA CurrentSince May 10, 2024 Accepting new patients
Hospitalis10 Inc CurrentSince May 10, 2024 Accepting new patients

Locations

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

5950 W Oakland Park Blvd
Ste 300
Lauderhill, FL 33313
Phone (954) 717-4066

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1265213292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6138 CLEVELAND ST APT 3",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330246076",
            "telephone_number": "786-267-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6138 CLEVELAND ST APT 3",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330246076",
            "telephone_number": "786-267-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO DELGADO",
        "first_name": "MACMELSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.