Individual provider Active NPI

Nathalie Jimenez Betancourt, APRN

  • Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1740145358
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F12250242 Issued in FL
Practice address
7682 W 34TH LN Unit 201
Hialeah, FL 33018-5031
Phone
(786) 557-4878
NPI assigned
Dec 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X F12250242 FL Primary

Addresses

Primary practice location

7682 W 34TH LN Unit 201
Hialeah, FL 33018-5031

Mailing address

7682 W 34TH LN Unit 201
Hialeah, FL 33018-5031

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
I20260206002175 FL Practitioner - Nurse Practitioner 4284113564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medical Services Pain Management and Anesthesiology Division LLCGroup PAC ID 7416485594, 5 clinicians

Practice addresses (Care Compare)

8260 W Flager St
Suite 2I
Miami, FL 33144-2069
Phone (786) 715-9183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F12250242FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Medical Services Pain Management & Anesthesiology Division LLC Multi-Specialty CurrentSince Jan 15, 2026 Accepting new patients

Locations

11420 N Kendall Dr
Ste 206
Miami, FL 33176
Phone (786) 715-9183

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

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": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1740145358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7682 W 34TH LN UNIT 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7682 W 34TH LN UNIT 201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330185031",
            "telephone_number": "786-557-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ BETANCOURT",
        "first_name": "NATHALIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F12250242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.