Active NPI
Dalissa Marie Tejera
- Nurse Practitioner
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9288695
- Practice address
- 1475 NW 12TH Ave
Miami, FL 33136-1002 - Phone
- (305) 243-9136
- NPI assigned
- May 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 9288695 | FL | |
| Nurse Practitioner | 363L00000X | ARNP9288695 | FL | Primary |
Addresses
Primary practice location
1475 NW 12TH Ave
Miami, FL 33136-1002
Mailing address
1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 243-9136
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4668245 | Other | FL | AETNA |
| QMP000003701324 | Other | FL | MOLINA HEALTHCARE |
| P1008781 | Other | FL | FREEDOM HEALTH |
| Y0J0D | Other | FL | BCBS OF FL |
| P948501 | Other | FL | OPTIMUM |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1475 NW 12TH
1 Umhc SCCC
Miami, FL 33136-1002
Phone (305) 243-8434
1475 NW 12TH Ave
Miami, FL 33136-1002
1475 NW 12TH Ave 1St FL
Miami, FL 33136-1002
1475 NW 12TH Ave 1St FLR
Miami, FL 33136-1002
1475 NW 12TH Ave 3Rd Floor
Umhc SCCC
Miami, FL 33136-1002
Phone (305) 243-8644
1475 NW 12TH Ave 4TH FLR Stem Cell
Umhc SCCC
Miami, FL 33136-1002
Phone (954) 831-2763
1475 NW 12TH Ave C
130 Umhc SCCC Alex's Place
Miami, FL 33136-1002
Phone (305) 243-6857
1475 NW 12TH Ave Courtelis Ctr
C021 Umhc SCCC
Miami, FL 33136-1002
Phone (305) 243-6387
1475 NW 12TH Ave Head and Neck Clinic
Umhc SCCC
Miami, FL 33136-1002
Phone (305) 585-7890
1475 NW 12TH Ave Opd
Umhc SCCC
Miami, FL 33136-1002
Phone (954) 493-8666
1601 NW 12TH Ave
Miami, FL 33136-1005
1601 NW 12TH Ave 1St FL
Miami, FL 33136-1005
1601 NW 12TH Ave 1St FLR
Miami, FL 33136-1005
1601 NW 12TH Ave Room
2060 MCCD
Miami, FL 33136-1005
Phone (305) 585-5635
1601 NW 12TH Avenue 5065 /
5TH Mailman Center for Child Development
Miami, FL 33136-1005
Phone (305) 243-6251
1611 NW 12 Ave
Miami, FL 33136-1005
1611 NW 12 TH Ave
Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000
1611 NW 12TH
3B Jackson Memorial Hospital Acc West
Miami, FL 33136-1005
Phone (305) 585-7476
1611 NW 12TH Ave 2ND FL
Miami, FL 33136-1005
1611 NW 12TH Ave 2ND FLR
Miami, FL 33136-1005
1611 NW 12TH Ave 5TH Floor
Acc Clinic West JMH
Miami, FL 33136-1005
Phone (305) 243-4211
1611 NW 12TH Ave Acc E
Miami, FL 33136-1005
1611 NW 12TH Ave Acc E 2ND FLR
Miami, FL 33136-1005
1611 NW 12TH Ave Acc W
Miami, FL 33136-1005
1611 NW 12TH Ave Acc West
Miami, FL 33136-1005
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 78.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9288695 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| Baptist Health Medical Group Oncology LLC | Current | Accepting new patients | |
| University of Miami | Nurse Practitioner | Current | Accepting new patients |
| Baptist Health Medical Group Oncology LLC | Current | Accepting new patients | |
| University of Miami | Past | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200
8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1475 NW 12th Ave
Fl 3
Miami, FL 33136
Phone (305) 243-2363
1475 NW 12th Ave
Fl 2
Miami, FL 33136
Phone (305) 243-4902
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 5
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.
-
- Hematology & Oncology Physician
- Miami, FL
- NPI 1679978118
-
- Durable Medical Equipment & Medical Supplies
- Miami, FL
- NPI 1407249873
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
Nurse Practitioner
-
dba UMiami Medicine- Pediatric Allergy
- Pediatric Allergy/Immunology Physician
- Miami, FL
- NPI 1427609080
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sylvester Comprehensive Cancer Center
- Special Hospital
- Miami, FL
- NPI 1679660617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460419200000",
"number": "1558706424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361002",
"telephone_number": "305-243-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361002",
"telephone_number": "305-243-9136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEJERA",
"first_name": "DALISSA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-06",
"last_updated": "2016-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9288695",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9288695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4668245",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE",
"identifier": "QMP000003701324",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM HEALTH",
"identifier": "P1008781",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "Y0J0D",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P948501",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.