Individual provider Active NPI

Elba Ines Pabon, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1578866042
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9244962 Issued in FL
Practice address
1095 NW 14TH Ter
Miami, FL 33136-1060
Phone
(305) 243-6946
Fax
(305) 243-3337
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9244962 FL
Nurse Practitioner 363L00000X APRN9244962 FL Primary

Addresses

Primary practice location

1095 NW 14TH Ter
Miami, FL 33136-1060

Mailing address

1095 NW 14TH Ter
Miami, FL 33136-1060
Phone (305) 243-6946

Other identifiers 3

IdentifierTypeStateIssuer
003262681002OtherFLUNITED HEALTHCARE
Y06H3OtherFLBCBS OF FLORIDA
003032400MedicaidFL

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
I20110203000990 FL Practitioner - Nurse Practitioner 2769662014 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
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

LicenseStateTypeSpecialty
APRN9244962FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Nurse Practitioner CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Current Accepting new patients
East Florida Primary Care LLC CurrentSince Aug 29, 2016 Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Jun 1, 2016 Accepting new patients
University of Miami Past Accepting new patients

Locations

10725 NW 58th St
Ste C7
Doral, FL 33178
Phone (305) 629-9644

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

11760 SW 40th St
Ste 722
Miami, FL 33175
Phone (305) 559-1883

1475 NW 12th Ave
Fl 1
Miami, FL 33136
Phone (305) 243-6605

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

8932 SW 97th Ave
Miami, FL 33176
Phone (305) 270-3485

1321 NW 14th St
Ste 306
Miami, FL 33125
Phone (305) 324-4840

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

1400 NW 12th Ave
Fl 1
Miami, FL 33136
Phone (305) 689-5511

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

9333 SW 152nd St
Ste 110
Palmetto Bay, FL 33157

8395 W Oakland Park Blvd
Ste E
Sunrise, FL 33351
Phone (954) 472-1322

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: epabon48673@direct.med.miami.edu
  • Direct secure messaging: elba.pabon@hca4.eclinicaldirectplus.com

Organizations & group practices 6

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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1578866042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 NW 14TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361060",
            "telephone_number": "305-243-6946",
            "fax_number": "305-243-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 NW 14TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361060",
            "telephone_number": "305-243-6946",
            "fax_number": "305-243-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABON",
        "first_name": "ELBA",
        "middle_name": "INES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9244962",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9244962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "003262681002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "Y06H3",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003032400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.