Renold Fertil

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11032564 Issued in FL

Practice address

3740 Inverrary Dr Apt 2Z
Lauderhill, FL 33319-5153

Phone

(954) 696-0833

NPI assigned

May 2, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MO, IN, KS, MI, OK, TN, SC, DE, NE, WI, CT, ME, NY, VT15 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 15

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Infinite Medical PCGroup PAC ID 8325477656, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  CT, DE, FL, IN, KS, ME, MI, MO, NE, NY, OK, SC, TN, VT, WI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1487401030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 INVERRARY DR APT 2Z",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333195153",
            "telephone_number": "954-696-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 INVERRARY DR APT 2Z",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333195153",
            "telephone_number": "954-696-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERTIL",
        "first_name": "RENOLD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Unity LLC
• Family Unity, LLC
• Stephanie Felix
• Kathyne Fenestor
• Tomas Fernandez Carvajal
• Figgers Health Inc
• Samelien Fineus, P.A.
• Fire Forged Recovery, Inc
• First Choice Wellness, LLC
• First Premier Healthcare Services Inc.

• Family Nurse Practitioner in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.