Active NPI
Jean Pierrot Orelus
- Family Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1265837017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9358510
- Practice address
- 8641 NW 18TH St
Pembroke Pines, FL 33024-3327 - Phone
- (954) 326-9100
- NPI assigned
- Oct 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 9358510 | FL | |
| Family Nurse Practitioner | 363LF0000X | 9358510 | FL | Primary |
Addresses
Primary practice location
8641 NW 18TH St
Pembroke Pines, FL 33024-3327
Mailing address
8641 NW 18TH St
Pembroke Pines, FL 33024-3327
Phone (954) 326-9100
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9358510 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethel Medical Group | Family | Current | Accepting new patients |
Locations
6045 Hagen Ranch Rd
Ste 4
Lake Worth, FL 33467
Phone (561) 619-9961
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": "1413936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1265837017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8641 NW 18TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243327",
"telephone_number": "954-326-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8641 NW 18TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243327",
"telephone_number": "954-326-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORELUS",
"first_name": "JEAN PIERROT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-22",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9358510",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9358510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.