Individual provider Active NPI

Elianet Perez, APRN

  • Family Nurse Practitioner
  • Sunrise, FL
National Provider Identifier
1659087294
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11220598 Issued in FL
Practice address
4399 N Nob Hill Rd
Sunrise, FL 33351-5813
Phone
(954) 799-6900
Fax
(954) 827-3803
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 F11220598 FL Primary

Addresses

Primary practice location

4399 N Nob Hill Rd
Sunrise, FL 33351-5813

Mailing address

4399 N Nob Hill Rd
Sunrise, FL 33351-5813
Phone (954) 799-6900

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
I20230511003711 FL Practitioner - Nurse Practitioner 4880050145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult and Geriatric Center of South Florida, LLCGroup PAC ID 7719132299, 12 clinicians

Practice addresses (Care Compare)

4399 N Nob Hill Rd
Sunrise, FL 33351-5813
Phone (954) 799-6900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F11220598FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Act Hospitalist LLC CurrentSince Jun 28, 2025 Accepting new patients
Adult & Geriatric Center of South Florida, LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

14001 NW 82nd Ave
Miami Lakes, FL 33016
Phone (786) 437-3397

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

4399 N Nob Hill Rd
Sunrise, FL 33351
Phone (566) 904-1230

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 1

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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1659087294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4399 N NOB HILL RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333515813",
            "telephone_number": "954-799-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4399 N NOB HILL RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333515813",
            "telephone_number": "954-799-6900",
            "fax_number": "954-827-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ELIANET",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11220598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.