Individual provider Active NPI

Andrea Marie Mekulik, APRN

  • Family Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1720638273
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9332046 Issued in FL
Practice address
1690 S Federal Hwy
Delray Beach, FL 33483-5030
Phone
(561) 272-1163
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 APRN9332046 FL Primary

Addresses

Primary practice location

1690 S Federal Hwy
Delray Beach, FL 33483-5030

Mailing address

3720 Executive Way
Miramar, FL 33025-3946
Phone (877) 868-4827

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
I20201009002092 FL Practitioner - Nurse Practitioner 8123350774 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care PLLC Family CurrentSince Nov 5, 2024 Accepting new patients
Vitas Solutions Inc Nurse Practitioner CurrentSince Sep 28, 2020 Accepting new patients

Locations

5430 NW 33rd Ave
Ste 106
Ft Lauderdale, FL 33309
Phone (877) 884-8277

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

8740 SW 40th St
Miami, FL 33165
Phone (305) 221-8337

13199 SW 112th St
Miami, FL 33186
Phone (305) 382-4161

3720 Executive Way
Miramar, FL 33025

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1501 S Federal Hwy
Pompano Beach, FL 33062
Phone (954) 788-0739

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1720638273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 EXECUTIVE WAY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253946",
            "telephone_number": "877-868-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 S FEDERAL HWY",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835030",
            "telephone_number": "561-272-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKULIK",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9332046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.