Joseph Ernest Penna, ARNP
Individual provider Active NPI Family Nurse Practitioner · Miami, FL
NPI 1427464965 · NPPES record last updated Mar 21, 2017
Key facts
- NPI
- 1427464965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9288958 (FL)
- Practice address
- 17601 NW 2ND Ave
Miami, FL 33169-5001 - Phone
- (305) 770-4500
- NPI assigned
- Jul 4, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Current Care PA
Practice addresses (Care Compare)
1347 S Andrews Ave
Fort Lauderdale, FL 33316-1837
Phone (954) 767-9999
4455 Medical Ctr Way
West Palm Beach, FL 33407-3244
Phone (561) 881-0066
7800 NW 25TH St
Suite 4
Doral, FL 33122-1623
Phone (305) 593-2174
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151022000054 | FL | Practitioner - Nurse Practitioner | 4880903475 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current |
Accepting new patients | |
| American Current Care P.a. | Current |
Accepting new patients |
Locations
1036 Dunn Ave
Ste 10
Jacksonville, FL 32218
Phone (904) 903-5520
7800 NW 25th St
Ste 4
Miami, FL 33122
Phone (305) 593-2174
4455 Medical Center Way
West Palm Beach, FL 33407
Phone (561) 881-0066
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9288958 | FL | Yes |
Addresses
Primary practice location
17601 NW 2ND Ave
Miami, FL 33169-5001
Mailing address
17601 NW 2ND Ave
Miami, FL 33169-5001
Phone (305) 770-4500
Other providers in Miami, FL
- Hector L Peniston Feliciano
- Barbara Penkosky
- Gregory Penn
- Emily Rose Penna
- Hannah Marie Penna
- Matthew Penna
- Ismelda Pennella Barraza
- Seandra M Pennie
- Aisha Idona Pennyfeather
- Pentacare Health Network Corp
All providers in Miami, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.