Individual provider Active NPI

Adaeze Chika Ohaeto, ARNP

  • Primary Care Nurse Practitioner
  • Homestead, FL
National Provider Identifier
1689848053
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN3134902 Issued in FL
Practice address
151 NW 11TH St Ste 202B
Homestead, FL 33030-4360
Phone
(305) 248-0203
Fax
(786) 533-9291
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP3134902 FL
Primary Care Nurse Practitioner 363LP2300X APRN3134902 FL Primary

Addresses

Primary practice location

151 NW 11TH St Ste 202B
Homestead, FL 33030-4360

Mailing address

151 NW 11TH St Ste 202B
Homestead, FL 33030-4360
Phone (305) 248-0203

Other identifiers 1

IdentifierTypeStateIssuer
004758400MedicaidFL

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
I20090116000255 FL Practitioner - Nurse Practitioner 8022171057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homestead Community Health Center, Inc.Group PAC ID 9537550066, 2 clinicians

Practice addresses (Care Compare)

151 NW 11TH St
Suite E400
Homestead, FL 33030-4360
Phone (786) 595-3300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN3134902FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homestead Community Health Center, Inc. CurrentSince Apr 15, 2022 Accepting new patients

Locations

151 NW 11th St
Ste E400
Homestead, FL 33030
Phone (786) 595-3300

Interoperability endpoints

  • Direct secure messaging: adaezeo@cerner.directbaptisthealth.com

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": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1689848053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST STE 202B",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304360",
            "telephone_number": "305-248-0203",
            "fax_number": "786-533-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST STE 202B",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304360",
            "telephone_number": "305-248-0203",
            "fax_number": "786-533-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHAETO",
        "first_name": "ADAEZE",
        "middle_name": "CHIKA",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP3134902",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN3134902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004758400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

Verify at the official NPI Registry.