Individual provider Active NPI

Lellanys Pino

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1285454876
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11036013 Issued in FL
Practice address
8049 W 36TH Ave Apt 2
Hialeah, FL 33018-1754
Phone
(786) 366-4710
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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 11036013 FL Primary

Addresses

Primary practice location

8049 W 36TH Ave Apt 2
Hialeah, FL 33018-1754

Mailing address

8049 W 36TH Ave Apt 2
Hialeah, FL 33018-1754
Phone (786) 366-4710

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
I20250805004263 FL Practitioner - Nurse Practitioner 7012425465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medical Services - Cardiology Division LLCGroup PAC ID 0244696581, 10 clinicians

Practice addresses (Care Compare)

8260 W Flager St
Miami, FL 33144-2069
Phone (786) 715-9183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11036013FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services - Cardiology Division LLC CurrentSince Jun 18, 2025 Accepting new patients
Blue Diamond Medical Center Corp. Family PastSince Oct 1, 2024 Accepting new patients

Locations

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1285454876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8049 W 36TH AVE APT 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330181754",
            "telephone_number": "786-366-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8049 W 36TH AVE APT 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330181754",
            "telephone_number": "786-366-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO",
        "first_name": "LELLANYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.