Individual provider Active NPI

Nelson Ahmed Calvo, APRN

  • Family Nurse Practitioner
  • Lauderdale Lakes, FL
National Provider Identifier
1376077347
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000056 Issued in FL
Practice address
3001 NW 49TH Ave Ste 100
Lauderdale Lakes, FL 33313-7257
Phone
(954) 983-9191
NPI assigned
Apr 17, 2017
Last updated
Apr 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9439535 FL
Surgical Assistant 246ZC0007X 17-256 FL
Family Nurse Practitioner 363LF0000X 11000056 FL Primary

Addresses

Primary practice location

3001 NW 49TH Ave Ste 100
Lauderdale Lakes, FL 33313-7257

Mailing address

20371 NW 32ND CT
Miami Gardens, FL 33056-1854

Other practice location 1

20371 NW 32nd Ct
Miami Gardens, FL 33056-1854
Phone (786) 439-4184

Other practice location 2

28810 SW 154th Ave
Homestead, FL 33033-2543
Phone (786) 481-5940

Other names 1

  • Nelson Calvo Professional name

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
I20191007000507 FL Practitioner - Nurse Practitioner 3870824808 Reassigns benefits to 1 organization
Practice locations: Homestead, FL; Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associatesmd Medical Group IncGroup PAC ID 6507294311, 38 clinicians

Practice addresses (Care Compare)

1604 Town Ctr Cir
Suite 4C
Weston, FL 33326-3640
Phone (954) 384-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9439535FLMDRegistered Nurse
17-256FLMDSurgical Assistant
11000056FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associatesmd Medical Group Inc CurrentSince Apr 27, 2024 Accepting new patients
Associatesmd Medical Group Inc CurrentSince Apr 27, 2024 Accepting new patients

Locations

4780 SW 64th Ave
Ste 103
Davie, FL 33314

4780 SW 64th Ave
Davie, FL 33314

1604 Town Center Blvd
Ste C
Weston, FL 33326
Phone (954) 349-5447

1604 Town Center Blvd
Ste 4C
Weston, FL 33326
Phone (954) 384-1800

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": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1376077347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20371 NW 32ND CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 NW 49TH AVE STE 100",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333137257",
            "telephone_number": "954-983-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20371 NW 32nd Ct",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330561854",
            "country_code": "US",
            "telephone_number": "786-439-4184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28810 SW 154th Ave",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330332543",
            "country_code": "US",
            "telephone_number": "786-481-5940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALVO",
        "first_name": "NELSON",
        "middle_name": "AHMED",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-17",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9439535",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "17-256",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELSON",
            "last_name": "CALVO",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lauderdale Lakes, FL

Sources for this page

Verify at the official NPI Registry.