Individual provider Active NPI

Liset Cabrera Mendoza, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1396572467
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11035276 Issued in FL
Practice address
16401 SW 95TH St
Miami, FL 33196-1061
Phone
(786) 720-8778
NPI assigned
Sep 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 11035276 FL Primary

Addresses

Primary practice location

16401 SW 95TH St
Miami, FL 33196-1061

Mailing address

16401 SW 95TH St
Miami, FL 33196-1061
Phone (786) 720-8778

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
I20241227002258 FL Practitioner - Nurse Practitioner 3274060587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nova Medical Services LLCGroup PAC ID 1759705148, 30 clinicians

Practice addresses (Care Compare)

8260 W Flager St
Suite 2I
Miami, FL 33144-2069
Phone (786) 715-9183

Hospital & facility affiliations

  • America-Loving Care Home Health Inc Home health agency, Doral, FL, CCN 108241
  • High Standard Health Services Inc Home health agency, Miami, FL, CCN 109330
  • Professional Solutions Home Health Agency Inc Home health agency, Miami, FL, CCN 109172
  • Aegis Homecare LLC Home health agency, Miami, FL, CCN 687168
  • Homestead Hospital Hospital, Homestead, FL, CCN 100125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11035276FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services LLC CurrentSince Nov 13, 2024 Accepting new patients
Cabrera Primary Medical Care LLC PastSince Sep 15, 2024 Accepting new patients

Locations

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1396572467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16401 SW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961061",
            "telephone_number": "786-720-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16401 SW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961061",
            "telephone_number": "786-720-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA MENDOZA",
        "first_name": "LISET",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11035276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.