Individual provider Active NPI

Andersson Padron Espinosa, ARNP

  • Family Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1386314102
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11014878 Issued in FL
Practice address
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone
(800) 226-8874
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11014878 FL
Family Nurse Practitioner 363LF0000X APRN11014878 FL Primary

Addresses

Primary practice location

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915

Mailing address

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (800) 226-8874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210922003634 FL Practitioner - Nurse Practitioner 8921405622 Reassigns benefits to 2 organizations
I20240129004189 NC Practitioner - Nurse Practitioner 8921405622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QSM-NC PAGroup PAC ID 1052695798, 17 clinicians
Quality Surgical Management IncGroup PAC ID 8921196403, 2 clinicians

Practice addresses (Care Compare)

104 College Dr
Flat Rock, NC 28731-7756
Phone (828) 693-8600

3800 S Ocean Dr
Suite 209
Hollywood, FL 33019-2915
Phone (305) 466-9988

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
QSM-NC, PA Family CurrentSince Dec 29, 2023 Accepting new patients
Quality Surgical Management Inc CurrentSince Sep 13, 2021 Accepting new patients
QSM-Ky, Inc Family Past Accepting new patients

Locations

3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013

13719 Dallas Dr
Hudson, FL 34667
Phone (727) 862-6795

2000 Edgewood Ave
Leesburg, FL 34748
Phone (352) 431-2482

9869 SW 152nd St
Miami, FL 33157
Phone (305) 225-3220

2000 N Semoran Blvd
Orlando, FL 32807
Phone (407) 641-5400

170 N Old Kings Rd
Ormond Beach, FL 32174
Phone (386) 615-8139

175 Villa Nueva Ave NE
Palm Bay, FL 32907
Phone (313) 574-2965

2501 N Australian Ave
West Palm Beach, FL 33407
Phone (561) 655-7780

3803 Pga Blvd
West Palm Beach, FL 33410
Phone (561) 622-4047

2170 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
Phone (561) 683-3333

3100 Erwin Rd
Durham, NC 27705
Phone (828) 652-3022

104 College Dr
Flat Rock, NC 28731
Phone (828) 639-8600

104 College Dr
Ste 209
Flat Rock, NC 28731

1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138

230 NC Highway 141
Murphy, NC 28906
Phone (828) 835-7580

Organizations & group practices 4

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1386314102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "800-226-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "800-226-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON ESPINOSA",
        "first_name": "ANDERSSON",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11014878",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11014878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.