Individual provider Active NPI

Marie Aliene Jusma, APRN

  • Adult Health Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1649736745
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11001088 Issued in FL
Practice address
222 S Flamingo Rd
Pembroke Pines, FL 33027-1721
Phone
(786) 439-5422
NPI assigned
Feb 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11001088 FL
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X APRN11001088 FL Primary

Addresses

Primary practice location

222 S Flamingo Rd
Pembroke Pines, FL 33027-1721

Mailing address

1095 NW 110TH Street
House
Miami, FL 33168
Phone (786) 439-5422

Other practice location 1

1100 S 56th Ave
Hollywood, FL 33023-1923
Phone (954) 357-2353

Other identifiers 1

IdentifierTypeStateIssuer
115041200MedicaidFL

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
I20250711000018 FL Practitioner - Nurse Practitioner 0648654665 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11001088FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pembroke Pines Community Health Center Inc Single Specialty CurrentSince Jun 25, 2025 Accepting new patients
Cleopatra Gordon Pusey, MD P.a. Single Specialty CurrentSince Jun 25, 2025 Accepting new patients

Locations

1100 S 56th Ave
Hollywood, FL 33023
Phone (954) 357-2353

222 S Flamingo Rd
Pembroke Pines, FL 33027
Phone (954) 392-9026

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.

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1649736745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 NW 110TH STREET",
            "address_2": "HOUSE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33168",
            "telephone_number": "786-439-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271721",
            "telephone_number": "786-439-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S 56th Ave",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330231923",
            "country_code": "US",
            "telephone_number": "954-357-2353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSMA",
        "first_name": "MARIE",
        "middle_name": "ALIENE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001088",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11001088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115041200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.