Individual provider Active NPI

Raysa A Hache, DNP, APRN, B-C

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1366680324
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9244301 Issued in FL
Practice address
701 NW 57TH Ave Ste 150
Miami, FL 33126-2072
Phone
(305) 260-2680
Fax
(305) 260-2686
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9244301 FL Primary

Addresses

Primary practice location

701 NW 57TH Ave Ste 150
Miami, FL 33126-2072

Mailing address

701 NW 57TH Ave Ste 150
Miami, FL 33126-2072
Phone (305) 260-2680

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
I20090803000632 FL Practitioner - Nurse Practitioner 0345393773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmed Medical Management of Florida IncGroup PAC ID 3971678558, 158 clinicians

Practice addresses (Care Compare)

2974 SW 8TH St
Optum of Little Havana
Miami, FL 33135-2827
Phone (305) 631-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9244301FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince Feb 13, 2016 Accepting new patients
Vega Health Center Inc PastSince May 8, 2022 Accepting new patients

Locations

701 NW 57th Ave
Ste 150
Miami, FL 33126
Phone (305) 260-2680

2974 SW 8th St
Miami, FL 33135
Phone (305) 631-3000

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: raysa.hache@wellmed.eclinicaldirectplus.com

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": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1366680324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NW 57TH AVE STE 150",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262072",
            "telephone_number": "305-260-2680",
            "fax_number": "305-260-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW 57TH AVE STE 150",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262072",
            "telephone_number": "305-260-2680",
            "fax_number": "305-260-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACHE",
        "first_name": "RAYSA",
        "middle_name": "A",
        "credential": "DNP, APRN, B-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9244301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.