Individual provider Active NPI

Grace Maliberan

  • Family Nurse Practitioner
  • Key West, FL
National Provider Identifier
1629840962
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10231057 Issued in FL
Practice address
27 Calle Uno
Key West, FL 33040-5410
Phone
(813) 765-9515
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10231057 FL Primary

Addresses

Primary practice location

27 Calle Uno
Key West, FL 33040-5410

Mailing address

27 Calle Uno
Key West, FL 33040-5410
Phone (813) 765-9515

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
I20250307001746 FL Practitioner - Nurse Practitioner 5193246080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Key West Hma Physician Management LLCGroup PAC ID 0749178408, 33 clinicians

Practice addresses (Care Compare)

1111 12TH St
Key West, FL 33040-3001

1111 12TH St
Key West, FL 33040-4084

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10231057FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Key West Hma Physician Management LLC CurrentSince Feb 28, 2025 Accepting new patients
Key West Hma Physician Management, LLC CurrentSince Feb 28, 2025 Accepting new patients

Locations

1111 12th St
Ste 104
Key West, FL 33040
Phone (305) 293-1830

Interoperability endpoints

  • Direct secure messaging: grace.maliberan.1@4692.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1629840962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CALLE UNO",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330405410",
            "telephone_number": "813-765-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE UNO",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330405410",
            "telephone_number": "813-765-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIBERAN",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10231057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.