Individual provider Active NPI

Daniel Correa, APRN

  • Family Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1437745205
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010690 Issued in FL
Practice address
2560 NW 103Rd Ave Apt 202
Sunrise, FL 33322-6843
Phone
(786) 457-8691
NPI assigned
Dec 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 11010690 FL Primary

Addresses

Primary practice location

2560 NW 103Rd Ave Apt 202
Sunrise, FL 33322-6843

Mailing address

2560 NW 103Rd Ave Apt 202
Sunrise, FL 33322-6843
Phone (786) 457-8691

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
I20240227000927 FL Practitioner - Nurse Practitioner 5395180616 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
Telehealth
Offers telehealth services
Group practices
Jupiter Medical Center Physicians Group IncGroup PAC ID 4284797069, 151 clinicians

Practice addresses (Care Compare)

2854 SE Federal Hwy
Stuart, FL 34994-5738
Phone (561) 223-0953

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010690FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group CurrentSince Mar 18, 2024 Accepting new patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Mar 18, 2024 Accepting new patients

Locations

136 Jupiter Lakes Blvd
Jupiter, FL 33458
Phone (561) 741-5591

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

5430 Military Trl
Ste 62
Jupiter, FL 33458
Phone (561) 263-4343

1000 E Indiantown Rd
Jupiter, FL 33477
Phone (561) 741-5566

2854 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-0953

3401 Pga Blvd
Ste 320
West Palm Bch, FL 33410
Phone (561) 626-3385

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.

Hospital & facility affiliations 2

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": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1437745205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 NW 103RD AVE APT 202",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333226843",
            "telephone_number": "786-457-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 NW 103RD AVE APT 202",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333226843",
            "telephone_number": "786-457-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "DANIEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.