Mireille Chery Cherisol Beauge

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11003884 Issued in FL

Practice address

10800 N Military TRL Ste 115
Palm Beach Gardens, FL 33410-6527

Phone

(561) 775-9111

NPI assigned

Mar 17, 2020

Last updated

Mar 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBCGBD/Endpoint/IBCGBD

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.

• Treasure Coast Medortho LLC

  dba Treasure Coast Injury & Walk-In Clinic

  • Orthopaedic Surgery Physician
  • Fort Pierce, FL
  • NPI 1124859459
  Medicare reassignment NPD
• Pga Chiropractic Health Center PA

  • Physical Therapy Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1578027637
  NPD (past)

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1679109128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 SW PAAR DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534020",
            "telephone_number": "772-618-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 N MILITARY TRL STE 115",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106527",
            "telephone_number": "561-775-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERISOL BEAUGE",
        "first_name": "MIREILLE",
        "middle_name": "CHERY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "10800 N Military Trl Ste 115",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334106527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "10800 N Military Trl Ste 115",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334106527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chelsea Engel Aprn FNP-C LLC
• Wang Yi Chen-Sams, OTR
• Chin F Chen, MD
• James Hsien-Nien Chen Jr., D.M.D.
• Suzette Chen, O.D.
• Adela Chery
• James Patrick Chesnes, LMHC
• Mark W Chiampou, CRNA
• Chiang Siu Inc (OC Physical Therapy)
• Orlando Chiang, P.T.

• Family Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.