Individual provider Active NPI

Yanique L Mais, APRN/CNM

  • Advanced Practice Midwife
  • West Palm BCH, FL
National Provider Identifier
1619584315
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11032279 Issued in FL
Practice address
3621 1/2 S Dixie Hwy
West Palm BCH, FL 33405-2227
Phone
(754) 226-7814
NPI assigned
Sep 26, 2020
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11032279 FL Primary

Addresses

Primary practice location

3621 1/2 S Dixie Hwy
West Palm BCH, FL 33405-2227

Mailing address

3621 1/2 S Dixie Hwy
West Palm BCH, FL 33405-2227
Phone (754) 226-7814

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107004594 FL Practitioner - Certified Nurse Midwife (CNM) 5799261939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 12493
Miami, FL 33101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN11032279FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Single Specialty CurrentSince Dec 8, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Dec 8, 2025 Accepting new patients

Locations

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

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1619584315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 1/2 S DIXIE HWY",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334052227",
            "telephone_number": "754-226-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 1/2 S DIXIE HWY",
            "city": "WEST PALM BCH",
            "state": "FL",
            "postal_code": "334052227",
            "telephone_number": "754-226-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIS",
        "first_name": "YANIQUE",
        "middle_name": "L",
        "credential": "APRN/CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11032279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm BCH, FL

Sources for this page

Verify at the official NPI Registry.