Midder Sepulveda Huerta, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11000405 Issued in FL

Practice address

3448 W 14TH LN
Hialeah, FL 33012-4722

Phone

(786) 715-9264

NPI assigned

Apr 18, 2019

Last updated

Apr 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Florida Critical Care Services LLCGroup PAC ID 2466714241, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Shore Medical Center Hospital, Miami, FL, CCN 100029

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• South Florida Critical Care Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Miami, FL
  • NPI 1306354626
  Medicare reassignment Care Compare group NPD

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

• Hsa NSMC LLC

  dba Florida Medical Center

  • General Acute Care Hospital
  • Lauderdale Lakes, FL
  • NPI 1184440828
  Care Compare affiliation
• Hsa NSMC LLC

  dba North Shore Medical Center

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1194552141
  Care Compare affiliation

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1427611045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3448 W 14TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124722",
            "telephone_number": "786-715-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 W 14TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124722",
            "telephone_number": "786-715-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA HUERTA",
        "first_name": "MIDDER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11000405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sensory Kidz
• Sensory Learning ABA LLC
• Magalys Seoane Cordovez
• Amanda Seoane Hidalgo
• Juan Sepulveda Alarcon
• Geraldine Sequeira Grass, DO
• Milagros I Serafin
• Serene Medical Center of Hialeah, Inc.
• Sereneminds Health Care Group
• Serenity Health Medical Center Corp

• Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.