Individual provider Active NPI

Martine Jerome, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1457169450
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11036743 Issued in FL
Practice address
1900 N Bayshore Dr
Miami, FL 33132-3001
Phone
(888) 947-3888
NPI assigned
Dec 21, 2024
Last updated
Dec 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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 11036743 FL Primary

Addresses

Primary practice location

1900 N Bayshore Dr
Miami, FL 33132-3001

Mailing address

9340 Sunrise Lakes Blvd Apt 211
Sunrise, FL 33322-2165
Phone (443) 527-2415

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
I20250226003458 FL Practitioner - Nurse Practitioner 0648790154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Miamipsych Concierge LLCGroup PAC ID 6709262496, 4 clinicians

Practice addresses (Care Compare)

1900 N Bayshore Dr
Suite 1a
Miami, FL 33132-3002
Phone (888) 947-3888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11036743FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Point Psychiatric Services, PLLC Psychiatric/Mental Health Current Accepting new patients
Rising Point Psychiatric Services Psychiatric/Mental Health Current Accepting new patients
Rising Point Psychiatry, PLLC Psychiatric/Mental Health Current Accepting new patients
Miamipsych Concierge, LLC Psychiatric/Mental Health CurrentSince Dec 23, 2024 Accepting new patients

Locations

1640 N Grant St
Denver, CO 80203

1900 N Bayshore Dr
Ste 1A
Miami, FL 33132
Phone (786) 637-2730

950 W Bannock St
Boise, ID 83702
Phone (208) 602-7007

4509 Creedmoor Rd
Raleigh, NC 27612
Phone (919) 730-4956

1045 Elm St
Ste 204
Manchester, NH 03101
Phone (603) 851-3801

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": "1734739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1457169450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9340 SUNRISE LAKES BLVD APT 211",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222165",
            "telephone_number": "443-527-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N BAYSHORE DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331323001",
            "telephone_number": "888-947-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEROME",
        "first_name": "MARTINE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11036743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.