Individual provider Active NPI

Yanelis Acuna Verdecia, ARNP

  • Adult Health Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1750861464
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9429736 Issued in FL
Practice address
1585 NE 169TH St
North Miami Beach, FL 33162-2916
Phone
(717) 278-6290
NPI assigned
Aug 21, 2018
Last updated
Aug 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9429736 FL Primary

Addresses

Primary practice location

1585 NE 169TH St
North Miami Beach, FL 33162-2916

Mailing address

1585 NE 169TH St
North Miami Beach, FL 33162-2916
Phone (717) 278-6290

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
I20260427001068 FL Practitioner - Nurse Practitioner 6204303308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida International Univ, College of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1585 NE 169TH St
North Miami Beach, FL 33162-2916

3804 NW 167 St
Opalocka, FL 33054-6232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9429736FLMDAdult Health Nurse Practitioner

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, 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": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1750861464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 NE 169TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622916",
            "telephone_number": "717-278-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 NE 169TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622916",
            "telephone_number": "717-278-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACUNA VERDECIA",
        "first_name": "YANELIS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9429736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.