Active NPI
Marisela Cabezas, PA-C
- Physician Assistant
- Fort Lauderdale, FL
National Provider Identifier
1265259790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9119191
- Practice address
- 906 W Sunrise Blvd Ste a
Fort Lauderdale, FL 33311-7131 - Phone
- (844) 650-2626
- Fax
- (844) 647-0990
- NPI assigned
- Sep 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9119191 | FL | Primary |
Addresses
Primary practice location
906 W Sunrise Blvd Ste a
Fort Lauderdale, FL 33311-7131
Mailing address
1971 N Federal Hwy
Pompano Beach, FL 33062
Phone (954) 890-3830
Other practice location 1
1115 S Federal Hwy
Fort Lauderdale, FL 33316-1256
Phone (954) 764-6646
Other practice location 2
1971 N Federal Hwy
Pompano Beach, FL 33062
Phone (954) 890-3830
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
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 S Federal Hwy
Fort Lauderdale, FL 33316-1256
Phone (225) 239-7190
3481 N University Dr
Coral Springs, FL 33065-1628
Phone (225) 239-7190
Hospital & facility affiliations
- Holy Cross Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9119191 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Drive Physicians | Past | Accepting new patients | |
| Wellview Care Inc. | Past | Accepting new patients |
Interoperability endpoints
- mcabezas3787989@direct.trinity-health.org
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.
-
- Urgent Care Clinic/Center
- Fort Lauderdale, FL
- NPI 1144824699
-
- Public Health & General Preventive Medicine Physician
- Fort Lauderdale, FL
- NPI 1548966146
-
- Urgent Care Clinic/Center
- Hallandale Beach, FL
- NPI 1528691961
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1740590157
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1265259790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1971 N FEDERAL HWY",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "33062",
"telephone_number": "954-890-3830",
"fax_number": "954-890-3831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 W SUNRISE BLVD STE A",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333117131",
"telephone_number": "844-650-2626",
"fax_number": "844-647-0990"
}
],
"practiceLocations": [
{
"address_1": "1115 S Federal Hwy",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333161256",
"country_code": "US",
"telephone_number": "954-764-6646",
"fax_number": "954-533-4322",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1971 N Federal Hwy",
"address_purpose": "LOCATION",
"city": "Pompano Beach",
"state": "FL",
"postal_code": "33062",
"country_code": "US",
"telephone_number": "954-890-3830",
"fax_number": "954-890-3831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CABEZAS",
"first_name": "MARISELA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-25",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9119191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.