Individual provider Active NPI

Mayelin Ruiz, APRN,FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1477305472
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11032145 Issued in FL
Practice address
22634 SW 109TH Path
Miami, FL 33170-3051
Phone
(786) 975-9865
NPI assigned
Apr 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11032145 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11032145 FL Primary

Addresses

Primary practice location

22634 SW 109TH Path
Miami, FL 33170-3051

Mailing address

22634 SW 109TH Path
Miami, FL 33170-3051
Phone (786) 975-9865

Other practice location 1

4101 Ravenswood Rd Ste 205
Fort Lauderdale, FL 33312-5301
Phone (786) 953-6729

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
I20260428003005 FL Practitioner - Nurse Practitioner 7113494097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4101 Ravenswood Rd
Suite 205
Fort Lauderdale, FL 33312-5301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11032145FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Servicing Corp CurrentSince Apr 20, 2026 Accepting new patients

Locations

4101 Ravenswood Rd
Ste 205
Fort Lauderdale, FL 33312
Phone (786) 953-6729

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1477305472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22634 SW 109TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331703051",
            "telephone_number": "786-975-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22634 SW 109TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331703051",
            "telephone_number": "786-975-9865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Ravenswood Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333125301",
            "country_code": "US",
            "telephone_number": "786-953-6729",
            "fax_number": "786-353-2349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MAYELIN",
        "credential": "APRN,FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032145",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11032145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.