NPIMap

Individual provider Active NPI

John Merino Smith

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1396418646
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014398 Issued in FL
Practice address
12131 SW 193Rd Ter
Miami, FL 33177-6535
Phone
(786) 780-3919
NPI assigned
Jul 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 11014398 FL Primary

Addresses

Primary practice location

12131 SW 193Rd Ter
Miami, FL 33177-6535

Mailing address

12131 SW 193Rd Ter
Miami, FL 33177-6535
Phone (786) 780-3919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220408000114 FL Practitioner - Nurse Practitioner 2769878396

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

P O Box
Suite 12493
Miami, FL 33101-2493

PO Box
Suite 12493
Miami, FL 33101-2493

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11014398FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Single Specialty CurrentSince Apr 18, 2022 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Feb 19, 2024 Accepting new patients
Public Health Trust of Miami Dade County Florida Single Specialty CurrentSince Feb 19, 2024 Accepting new patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Apr 18, 2022 Accepting new patients
Public Health Trust of Dade County Florida Past Accepting new patients

Locations

3737 SW 8th St
Coral Gables, FL 33134
Phone (305) 575-1600

18910 S Dixie Hwy
Cutler Bay, FL 33157
Phone (305) 585-9230

13707 SW 152nd St
Miami, FL 33177
Phone (305) 585-9200

1611 NW 12th Ave
Ste 3C
Miami, FL 33136

1611 NW 12th Ave
#3C
Miami, FL 33136
Phone (305) 585-5768

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 6

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1396418646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 SW 193RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776535",
            "telephone_number": "786-780-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12131 SW 193RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776535",
            "telephone_number": "786-780-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERINO SMITH",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.