Individual provider Active NPI

Osiel Monteserin, APRN FNP MSN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1356791305
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9363400 Issued in FL
Practice address
1490 NW 27TH Ave Ste 130
Miami, FL 33125-2173
Phone
(305) 635-7710
Fax
(786) 621-7817
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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 9363400 FL Primary

Addresses

Primary practice location

1490 NW 27TH Ave Ste 130
Miami, FL 33125-2173

Mailing address

1621 SW 107TH Ave
Miami, FL 33165-7344
Phone (786) 422-6525

Other practice location 1

1621 SW 107th Ave
Miami, FL 33165-7344
Phone (786) 422-6525

Other identifiers 1

IdentifierTypeStateIssuer
019159000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address osiel.monteserin@cmg.eclinicaldirectplus.com Other

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
I20170703000717 FL Practitioner - Nurse Practitioner 5395014518 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
9363400FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Group of Westchester, LLC. CurrentSince Oct 24, 2016 Accepting new patients

Locations

6100 Blue Lagoon Dr
Ste 365
Miami, FL 33126
Phone (786) 322-7333

1621 SW 107th Ave
Miami, FL 33165
Phone (786) 422-6525

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1356791305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 SW 107TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657344",
            "telephone_number": "786-422-6525",
            "fax_number": "786-621-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 NW 27TH AVE STE 130",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252173",
            "telephone_number": "305-635-7710",
            "fax_number": "786-621-7817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 SW 107th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331657344",
            "country_code": "US",
            "telephone_number": "786-422-6525",
            "fax_number": "786-621-7815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTESERIN",
        "first_name": "OSIEL",
        "name_prefix": "Mr.",
        "credential": "APRN FNP MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9363400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019159000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "osiel.monteserin@cmg.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "health information has changed",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1490 NW 27th Ave Ste 130",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331252173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.