Individual provider Active NPI

Jennifer Ficken

  • Acute Care Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1699432328
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11015758 Issued in FL
Practice address
2213 N University Dr Ste a
Pembroke Pines, FL 33024-3611
Phone
(954) 963-2151
NPI assigned
Nov 17, 2021
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11015758 FL Primary

Addresses

Primary practice location

2213 N University Dr Ste a
Pembroke Pines, FL 33024-3611

Mailing address

280 Holloway Dr
Plantation, FL 33317-2441

Other practice location 1

3700 Washington St Ste 500A
Hollywood, FL 33021-8256
Phone (954) 989-4700

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
I20220913003292 FL Practitioner - Nurse Practitioner 0941685861 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015758FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Healthcare System CurrentSince Jul 1, 2022 Accepting new patients
Mitchell B Cohen MD PA PastSince Jul 1, 2022 Accepting new patients

Locations

3700 Washington St
Ste 500A
Hollywood, FL 33021
Phone (954) 633-7858

2213 N University Dr
Pembroke Pines, FL 33024
Phone (954) 963-2151

2213 N University Dr
#A
Pembroke Pines, FL 33024
Phone (954) 445-1754

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, 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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1699432328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 HOLLOWAY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 N UNIVERSITY DR STE A",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243611",
            "telephone_number": "954-963-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 Washington St Ste 500A",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330218256",
            "country_code": "US",
            "telephone_number": "954-989-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FICKEN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11015758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.