Individual provider Active NPI

Melissa Barreras, MSN APRN FNP BC

  • Family Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1659044113
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014658 Issued in FL
Practice address
5905 Abbey Rd
Tamarac, FL 33321-4110
Phone
(954) 607-3201
NPI assigned
Jul 29, 2021
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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 11014658 FL
Family Nurse Practitioner 363LF0000X 11014658 FL Primary

Addresses

Primary practice location

5905 Abbey Rd
Tamarac, FL 33321-4110

Mailing address

5905 Abbey Rd
Tamarac, FL 33321-4110
Phone (954) 607-3201

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
I20241125002671 FL Practitioner - Nurse Practitioner 4587199765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real Healthcare IncGroup PAC ID 7911155163, 8 clinicians

Practice addresses (Care Compare)

100 NW 100TH Ave
Plantation, FL 33324-7008
Phone (954) 472-7975

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11014658FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Real Healthcare, Inc. Nurse Practitioner CurrentSince Oct 21, 2024 Accepting new patients

Locations

100 NW 100th Ave
Plantation, FL 33324
Phone (954) 472-7975

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, 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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1659044113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 ABBEY RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214110",
            "telephone_number": "954-607-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 ABBEY RD",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333214110",
            "telephone_number": "954-607-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERAS",
        "first_name": "MELISSA",
        "credential": "MSN APRN FNP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11014658",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.