Active NPI
Nathalie Cassandre Metellus, AGACNP-BC
- Gerontology Nurse Practitioner
- North Miami Beach, FL
National Provider Identifier
1609714955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11039462
- Practice address
- 100 NW 170TH St Ste 301
North Miami Beach, FL 33169-5511 - Phone
- (305) 651-3038
- Fax
- (305) 655-1153
- NPI assigned
- Mar 24, 2026
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11039462 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN11039462 | FL | Primary |
Addresses
Primary practice location
100 NW 170TH St Ste 301
North Miami Beach, FL 33169-5511
Mailing address
100 NW 170TH St Ste 301
North Miami Beach, FL 33169-5511
Phone (305) 651-3038
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, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 NW 170 St
Suite 301
North Miami Beach, FL 33169-5511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11039462 | FL | MD | Acute Care Nurse Practitioner |
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 and National Provider Directory roles.
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- North Miami Beach, FL
- NPI 1003004276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1609714955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 NW 170TH ST STE 301",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331695511",
"telephone_number": "305-651-3038",
"fax_number": "305-655-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NW 170TH ST STE 301",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331695511",
"telephone_number": "305-651-3038",
"fax_number": "305-655-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METELLUS",
"first_name": "NATHALIE",
"middle_name": "CASSANDRE",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11039462",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11039462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.