Individual provider Active NPI

Nedelis C. Buela, ARNP, AGNP

  • Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1265953756
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9291427 Issued in FL
Practice address
2601 Davie Blvd
Fort Lauderdale, FL 33312-3029
Phone
(754) 216-2458
Fax
(954) 734-6750
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG05170038 FL
Gerontology Nurse Practitioner 363LG0600X AG05170038 FL
Nurse Practitioner 363L00000X 9291427 FL Primary

Addresses

Primary practice location

2601 Davie Blvd
Fort Lauderdale, FL 33312-3029

Mailing address

8741 NW 145TH Ter
Miami Lakes, FL 33018-8017
Phone (786) 443-4767

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
I20190325000245 FL Practitioner - Nurse Practitioner 7315287604 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9291427FLMDNurse Practitioner
AG05170038FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bermudez Medical Group, LLC. CurrentSince Apr 2, 2019 Accepting new patients
NBH Health Inc Gerontology CurrentSince Feb 19, 2026 Accepting new patients
LRB Medical Services P a CurrentSince Jan 1, 2019 Accepting new patients

Locations

2601 Davie Blvd
Ft Lauderdale, FL 33312
Phone (754) 216-2458

Organizations & group practices 3

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": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1265953756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8741 NW 145TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330188017",
            "telephone_number": "786-443-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 DAVIE BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333123029",
            "telephone_number": "754-216-2458",
            "fax_number": "954-734-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUELA",
        "first_name": "NEDELIS",
        "middle_name": "C.",
        "credential": "ARNP, AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "AG05170038",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "AG05170038",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9291427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.