Individual provider Active NPI

Alexander Friman, APRN

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1699482463
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11022769 Issued in FL
Practice address
1420 SW Saint Lucie West Blvd Ste 107
Port Saint Lucie, FL 34986-1709
Phone
(772) 879-1112
Fax
(772) 879-1167
NPI assigned
Nov 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 APRN11022769 FL Primary

Addresses

Primary practice location

1420 SW Saint Lucie West Blvd Ste 107
Port Saint Lucie, FL 34986-1709

Mailing address

1433 SW Oriole LN
Port Saint Lucie, FL 34953-2275
Phone (772) 240-2768

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
I20231018003183 FL Practitioner - Nurse Practitioner 6608221163 Reassigns benefits to 1 organization

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
Richard J Pena- Ariet MD PAGroup PAC ID 4183705445, 5 clinicians

Practice addresses (Care Compare)

1420 SW Saint Lucie W Blvd
Suite 107
Port St Lucie, FL 34986-1709
Phone (772) 879-1112

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11022769FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard J Pena- Ariet MD PA CurrentSince Sep 15, 2023 Accepting new patients

Locations

1420 SW Saint Lucie West Blvd
Ste 107
Port St Lucie, FL 34986
Phone (772) 879-1112

Interoperability endpoints

  • Direct secure messaging: alexander.friman@7640482381828.direct.elationemr.com

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.

Hospital & facility affiliations 2

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1699482463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 SW ORIOLE LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532275",
            "telephone_number": "772-240-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SW SAINT LUCIE WEST BLVD STE 107",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861709",
            "telephone_number": "772-879-1112",
            "fax_number": "772-879-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIMAN",
        "first_name": "ALEXANDER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11022769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.