Individual provider Active NPI

Erick Manuel Mendieta, ARNP

  • General Acute Care Hospital
  • Hollywood, FL
National Provider Identifier
1407292014
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
ARNP9243359 Issued in FL
Practice address
3001 S Ocean Dr
Apt 501
Hollywood, FL 33019-2830
Phone
(786) 229-8334
NPI assigned
May 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X ARNP9243359 FL Primary

Addresses

Primary practice location

3001 S Ocean Dr
Apt 501
Hollywood, FL 33019-2830

Mailing address

3001 S Ocean Dr
Apt 501
Hollywood, FL 33019-2830
Phone (786) 229-8334

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
I20131203001432 FL Practitioner - Nurse Practitioner 7517193121 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000

Hospital & facility affiliations

  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
FL-I Medical Services LLC CurrentSince Mar 1, 2017 Accepting new patients
FL - I Medical Services LLC CurrentSince Mar 1, 2017 Accepting new patients
FL-I Medical Services, LLC Current Accepting new patients
Tru Health Medical Services Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

339 Cypress Pkwy
Ste 250
Kissimmee, FL 34759
Phone (305) 849-4540

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

5565 Centerview Dr
Ste 107
Raleigh, NC 27606
Phone (213) 484-7111

Organizations & group practices 5

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 1

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": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1407292014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 S OCEAN DR",
            "address_2": "APT 501",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192830",
            "telephone_number": "786-229-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S OCEAN DR",
            "address_2": "APT 501",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192830",
            "telephone_number": "786-229-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIETA",
        "first_name": "ERICK",
        "middle_name": "MANUEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "ARNP9243359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.