Individual provider Active NPI

Marisleydis Comesana, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1356099048
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11011480 Issued in FL
Practice address
6250 SW 130TH Ave Apt 706
Miami, FL 33183-5236
Phone
(786) 301-9813
NPI assigned
Mar 12, 2022
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11011480 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11011480 FL Primary

Addresses

Primary practice location

6250 SW 130TH Ave Apt 706
Miami, FL 33183-5236

Mailing address

6250 SW 130TH Ave Apt 706
Miami, FL 33183-5236
Phone (786) 301-9813

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
I20230515000871 FL Practitioner - Nurse Practitioner 7416313648 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011480FLMDFamily Nurse Practitioner
APRN11011480FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dominguez Community Center Corp. CurrentSince Dec 9, 2024 Accepting new patients

Locations

13205 SW 137th Ave
Ste 132
Miami, FL 33186
Phone (305) 479-6538

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, 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": "1647043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1356099048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 SW 130TH AVE APT 706",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835236",
            "telephone_number": "786-301-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 SW 130TH AVE APT 706",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835236",
            "telephone_number": "786-301-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMESANA",
        "first_name": "MARISLEYDIS",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-12",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011480",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11011480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.