Individual provider Active NPI

Marie-Altagrace Vanessa Germain

  • Family Nurse Practitioner
  • Fort Lauderdale, FL
National Provider Identifier
1295512010
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028664 Issued in FL
Practice address
3000 Bayview Dr
Fort Lauderdale, FL 33306-1772
Phone
(954) 567-1332
NPI assigned
Sep 14, 2023
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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 RN9441425 FL
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11028664 FL Primary

Addresses

Primary practice location

3000 Bayview Dr
Fort Lauderdale, FL 33306-1772

Mailing address

6811 NW 27TH Sreet
Margate, FL 33063
Phone (561) 674-2031

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
I20231221003970 FL Practitioner - Nurse Practitioner 5294185872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3000 Bayview Dr
Suite 100
Fort Lauderdale, FL 33306-1772
Phone (954) 567-1332

Merit-based Incentive Payment System (MIPS)

Final score
81.65 of 100Reported as group
Quality
66.27
Promoting interoperability
100
Improvement activities
40
Cost
72.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9441425FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC Single Specialty CurrentSince Dec 12, 2023 Accepting new patients
Tenet Florida Physician Services II, LLC Single Specialty CurrentSince Dec 12, 2023 Accepting new patients

Locations

9960 Central Park Blvd N
Ste 100
Boca Raton, FL 33428
Phone (561) 226-4180

9960 Central Park Blvd N
Ste 150A
Boca Raton, FL 33428
Phone (561) 394-8443

3000 Bayview Dr
#100
Fort Lauderdale, FL 33306
Phone (954) 567-1332

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

3000 Bayview Dr
Ste 100
Ft Lauderdale, FL 33306
Phone (954) 567-1332

600 Heritage Dr
Ste 105
Jupiter, FL 33458
Phone (561) 935-9233

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

Interoperability endpoints

  • Direct secure messaging: marie-altagrace.germain.1@13023.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1295512010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 NW 27TH SREET",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "33063",
            "telephone_number": "561-674-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BAYVIEW DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061772",
            "telephone_number": "954-567-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAIN",
        "first_name": "MARIE-ALTAGRACE",
        "middle_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2024-03-15",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9441425",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.