Individual provider Active NPI

Mildrey Exposito, MSN,APRN,NP-C

  • Family Nurse Practitioner
  • Marathon, FL
National Provider Identifier
1437790045
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002646 Issued in FL
Practice address
5180 Overseas Hwy
Marathon, FL 33050-2624
Phone
(305) 517-6995
Fax
(305) 517-6335
NPI assigned
Oct 4, 2019
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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 APRN11002646 FL Primary

Addresses

Primary practice location

5180 Overseas Hwy
Marathon, FL 33050-2624

Mailing address

5180 Overseas Hwy
Marathon, FL 33050-2624
Phone (305) 517-6995

Other identifiers 1

IdentifierTypeStateIssuer
111819700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.vitas.com

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
I20201230001111 FL Practitioner - Nurse Practitioner 0941632277 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Medical Diagnostic Inc CurrentSince Dec 3, 2021 Accepting new patients
Vitas Healthcare Corporation of Florida PastSince Oct 1, 2019 Accepting new patients
Vitas Healthcare Corporation of Florida PastSince Oct 1, 2019 Accepting new patients

Locations

4995 NW 72nd Ave
Ste 401
Miami, FL 33166
Phone (786) 558-5860

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1437790045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502624",
            "telephone_number": "305-517-6995",
            "fax_number": "305-517-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502624",
            "telephone_number": "305-517-6995",
            "fax_number": "305-517-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXPOSITO",
        "first_name": "MILDREY",
        "credential": "MSN,APRN,NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111819700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.vitas.com",
            "affiliation": "N",
            "address_1": "11731 Mills Dr Ste 400",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331834846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

Verify at the official NPI Registry.