Individual provider Active NPI

Yusel Martin Pacheco, APRN

  • Nurse Practitioner
  • Miami, FL
National Provider Identifier
1588377337
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11023561 Issued in FL
Practice address
8352 SW 40TH St
Miami, FL 33155-3354
Phone
(305) 225-0707
Fax
(888) 208-1644
NPI assigned
Dec 26, 2022
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 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 11023561 FL Primary

Addresses

Primary practice location

8352 SW 40TH St
Miami, FL 33155-3354

Mailing address

5581 NW 200TH LN Lot 202
Miami Gardens, FL 33055-6627
Phone (786) 427-3809

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
I20230222002866 FL Practitioner - Nurse Practitioner 9537532593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Value Family Medicine LLCGroup PAC ID 9638306475, 2 clinicians

Practice addresses (Care Compare)

8352 SW 40TH St
Miami, FL 33155-3354
Phone (305) 225-0707

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11023561FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Value Family Medicine LLC Single Specialty CurrentSince Jan 3, 2023 Accepting new patients

Locations

8352 SW 40th St
Miami, FL 33155
Phone (305) 225-0707

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1588377337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5581 NW 200TH LN LOT 202",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330556627",
            "telephone_number": "786-427-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8352 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553354",
            "telephone_number": "305-225-0707",
            "fax_number": "888-208-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN PACHECO",
        "first_name": "YUSEL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11023561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.