Individual provider Active NPI

Yiksiam Marquez Fernandez

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1548845969
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11011998 Issued in FL
Practice address
7800 SW 87TH Avenue
S. C300
Miami, FL 33173
Phone
(305) 271-0221
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11011998 FL Primary

Addresses

Primary practice location

7800 SW 87TH Avenue
S. C300
Miami, FL 33173

Mailing address

7800 SW 87TH Avenue
S. C300
Miami, FL 33173
Phone (305) 271-0221

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
I20220706003120 FL Practitioner - Nurse Practitioner 1658751896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Cancer AssociatesGroup PAC ID 1759284847, 65 clinicians

Practice addresses (Care Compare)

7800 SW 87TH Ave
Suite C300
Miami, FL 33173-3570
Phone (305) 274-0221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11011998FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Cancer Associates CurrentSince May 30, 2022 Accepting new patients
Skin and Cancer Associates PastSince Jun 30, 2024 Accepting new patients

Locations

2925 NE 199th St
Ste 205
Miami, FL 33180
Phone (305) 933-6716

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1548845969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVENUE",
            "address_2": "S. C300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-271-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 87TH AVENUE",
            "address_2": "S. C300",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "telephone_number": "305-271-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ FERNANDEZ",
        "first_name": "YIKSIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11011998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.