Individual provider Active NPI

Nicholas Ribbeck

  • Psychiatric/Mental Health Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1447132394
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11040436 Issued in FL
Practice address
530 NW 207TH Ave
Pembroke Pines, FL 33029-3482
Phone
(786) 319-0597
NPI assigned
Jul 22, 2025
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11040436 FL Primary

Addresses

Primary practice location

530 NW 207TH Ave
Pembroke Pines, FL 33029-3482

Mailing address

530 NW 207TH Ave
Pembroke Pines, FL 33029-3482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251006003391 FL Practitioner - Nurse Practitioner 0648777870 Reassigns benefits to 1 organization
I20260616000706 NY Practitioner - Nurse Practitioner 0648777870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compassionate Psychiatric Services LLCGroup PAC ID 6608153911, 5 clinicians

Practice addresses (Care Compare)

1702 Club Dr
Vero Beach, FL 32963-2258
Phone (772) 332-2635

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Psychiatric Services LLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients
Aurora Mind LLC Psychiatric/Mental Health CurrentSince Jul 28, 2025 Accepting new patients

Locations

1702 Club Dr
Vero Beach, FL 32963
Phone (772) 222-5001

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": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1447132394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NW 207TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NW 207TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293482",
            "telephone_number": "786-319-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBBECK",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11040436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.