Individual provider Active NPI

Jean Pierrot Orelus

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1265837017
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9358510 Issued in FL
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

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150303002384 FL Practitioner - Nurse Practitioner 9335465608 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9358510FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bethel Medical Group Family CurrentSince Sep 13, 2023 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

Verify at the official NPI Registry.