Individual provider Active NPI

Lisa Marie Ross, APRN

  • Family Nurse Practitioner
  • Margate, FL
National Provider Identifier
1417535881
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011800 Issued in FL
Practice address
6101 W Atlantic Blvd Ste 101
Margate, FL 33063-5157
Phone
(954) 869-4320
Fax
(954) 869-4325
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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 APRN11011800 FL
Family Nurse Practitioner 363LF0000X APRN11011800 FL Primary

Addresses

Primary practice location

6101 W Atlantic Blvd Ste 101
Margate, FL 33063-5157

Mailing address

10313 NW 50TH CT
Coral Springs, FL 33076-1739
Phone (954) 295-0336

Other practice location 1

7229 W Oakland Park Blvd Ste 101
Lauderhill, FL 33313-1004
Phone (954) 824-2616

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
I20220602000841 FL Practitioner - Nurse Practitioner 5496133530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Xpress Urgent Care LLCGroup PAC ID 0042454944, 31 clinicians

Practice addresses (Care Compare)

6101 W Atlantic Blvd
Suite 101
Margate, FL 33063-5157
Phone (954) 869-4320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Xpress Urgent Care, LLC. CurrentSince May 27, 2022 Accepting new patients
Xpress Urgent Care, LLC. CurrentSince May 27, 2022 Accepting new patients
Medical Consultants of Florida, LLC Current Accepting new patients

Locations

7229 W Oakland Park Blvd
Ste 101
Lauderhill, FL 33313
Phone (954) 824-2616

6101 W Atlantic Blvd
Ste 101
Margate, FL 33063
Phone (954) 869-4320

672 SW Prima Vista Blvd
#10
Port St Lucie, FL 34983
Phone (772) 905-2555

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 3

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1417535881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 NW 50TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761739",
            "telephone_number": "954-295-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W ATLANTIC BLVD STE 101",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635157",
            "telephone_number": "954-869-4320",
            "fax_number": "954-869-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7229 W Oakland Park Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333131004",
            "country_code": "US",
            "telephone_number": "954-824-2616",
            "fax_number": "754-667-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11011800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.