Individual provider Active NPI

Michel Poitevien, ARNP

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1720480445
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9273908 Issued in FL
Practice address
6245 Miramar Pkwy Ste 102
Miramar, FL 33023-3964
Phone
(786) 282-1232
NPI assigned
Sep 24, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9273908 FL
Family Nurse Practitioner 363LF0000X ARNP9273908 FL Primary

Addresses

Primary practice location

6245 Miramar Pkwy Ste 102
Miramar, FL 33023-3964

Mailing address

177 NE 166TH St
North Miami Beach, FL 33162-3441
Phone (786) 282-1232

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
I20180228001075 FL Practitioner - Nurse Practitioner 7012212731 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9273908FLMDRegistered Nurse
ARNP9273908FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Center Inc CurrentSince Aug 11, 2015 Accepting new patients

Locations

6245 Miramar Pkwy
Ste 102
Miramar, FL 33023
Phone (754) 273-9174

Interoperability endpoints

  • Direct secure messaging: michel.poitevien.1@14958.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGCFCD/Endpoint/BGCFCD

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720480445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 NE 166TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623441",
            "telephone_number": "786-282-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 MIRAMAR PKWY STE 102",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330233964",
            "telephone_number": "786-282-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POITEVIEN",
        "first_name": "MICHEL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9273908",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9273908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.