Individual provider Active NPI

Jennifer Lynn Couceyro, ARNP

  • Pediatric Nurse Practitioner
  • Miami, FL
National Provider Identifier
1619150364
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
ARNP2735742 Issued in FL
Practice address
8900 North Kendall Drive
Baptist Children'S Hospital
Miami, FL 33176
Phone
(786) 596-7836
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X ARNP2735742 FL Primary

Addresses

Primary practice location

8900 North Kendall Drive
Baptist Children'S Hospital
Miami, FL 33176

Mailing address

8900 North Kendall Drive
Baptist Children'S Hospital
Miami, FL 33176
Phone (786) 596-7836

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifec@cerner.directbaptisthealth.com

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
I20200730003131 FL Practitioner - Nurse Practitioner 3274958772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians

Practice addresses (Care Compare)

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-7670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP2735742FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC CurrentSince Jul 5, 2020 Accepting new patients

Locations

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: jennifec@cerner.directbaptisthealth.com

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.

Hospital & facility affiliations 3

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": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1619150364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 NORTH KENDALL DRIVE",
            "address_2": "BAPTIST CHILDREN'S HOSPITAL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "786-596-7836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 NORTH KENDALL DRIVE",
            "address_2": "BAPTIST CHILDREN'S HOSPITAL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "786-596-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCEYRO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP2735742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifec@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "8900 North Kendall Drive",
            "address_2": "Baptist Children's Hospital",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.