Individual provider Active NPI

Nelson Felipe Villar, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1669025904
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003204 Issued in FL
Practice address
10250 SW 56TH St Ste C101
Miami, FL 33165-7065
Phone
(786) 558-8901
Fax
(786) 558-8917
NPI assigned
Jul 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 APRN11003204 FL Primary

Addresses

Primary practice location

10250 SW 56TH St Ste C101
Miami, FL 33165-7065

Mailing address

10250 SW 56TH St Ste C101
Miami, FL 33165-7065
Phone (786) 558-8901

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
I20200305002615 FL Practitioner - Nurse Practitioner 4880021765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preventive and Primary Care Medical Center IncGroup PAC ID 1052553609, 2 clinicians

Practice addresses (Care Compare)

10250 SW 56TH St
Suite C101
Miami, FL 33165-7065
Phone (786) 558-8901

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11003204FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preventive and Primary Care Medical Center Inc CurrentSince Nov 21, 2019 Accepting new patients

Locations

10250 SW 56th St
Ste C101
Miami, FL 33165
Phone (786) 558-8901

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1669025904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST STE C101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657065",
            "telephone_number": "786-558-8901",
            "fax_number": "786-558-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SW 56TH ST STE C101",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657065",
            "telephone_number": "786-558-8901",
            "fax_number": "786-558-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAR",
        "first_name": "NELSON",
        "middle_name": "FELIPE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.