Individual provider Active NPI

Elke Rouco, ARNP

  • Nurse Practitioner
  • Miami Lakes, FL
National Provider Identifier
1578865614
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3359782 Issued in FL
Practice address
16505 NW 90TH Ave
Miami Lakes, FL 33018-6169
Phone
(305) 364-0818
NPI assigned
Nov 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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 ARNP3359782 FL Primary

Addresses

Primary practice location

16505 NW 90TH Ave
Miami Lakes, FL 33018-6169

Mailing address

16505 NW 90TH Ave
Miami Lakes, FL 33018-6169
Phone (305) 364-0818

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
I20110317000660 FL Practitioner - Nurse Practitioner 9234312950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jose Manuel Sanchez MD PAGroup PAC ID 6204902109, 2 clinicians

Practice addresses (Care Compare)

3100 S Douglas Rd
Coral Gables, FL 33134-6914
Phone (305) 445-8461

7000 SW 97TH Ave
Suite 108
Miami, FL 33173-1474
Phone (305) 964-7392

955 NW 3Rd St
Select Specialty Hospital Miami
Miami, FL 33128-1274
Phone (305) 416-5737

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Manuel Sanchez MD PA CurrentSince Jun 11, 2011 Accepting new patients
Nursing Home Consultants LLC Past Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

955 NW 3rd St
Miami, FL 33128
Phone (305) 416-5700

7000 SW 97th Ave
Ste 108
Miami, FL 33173
Phone (305) 596-0020

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1578865614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16505 NW 90TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186169",
            "telephone_number": "305-364-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16505 NW 90TH AVE",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186169",
            "telephone_number": "305-364-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUCO",
        "first_name": "ELKE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3359782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

Verify at the official NPI Registry.