Individual provider Active NPI

Angelica Maria Paulsen, FNP-BC

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1790243657
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027686 Issued in FL
Practice address
3661 S Miami Ave Ste 606
Miami, FL 33133-4248
Phone
(305) 701-7168
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011219 CA
Family Nurse Practitioner 363LF0000X APRN11027686 FL Primary

Addresses

Primary practice location

3661 S Miami Ave Ste 606
Miami, FL 33133-4248

Mailing address

325 S Biscayne Blvd Apt 923
Miami, FL 33131-2307
Phone (305) 815-0036

Other names 1

  • Angelica Maria Paulsen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190523002653 CA Practitioner - Nurse Practitioner 2365785813 Reassigns benefits to 1 organization
I20240103000947 FL Practitioner - Nurse Practitioner 2365785813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Miami, LM Miller School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuroscience Associates IncGroup PAC ID 6800025131, 10 clinicians

Practice addresses (Care Compare)

925 Toppino Dr
Key West, FL 33040-4269
Phone (305) 296-2212

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
70.86
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11027686FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Associates Inc CurrentSince Jul 15, 2024 Accepting new patients
Neuroscience Associates Inc Physical Medicine & Rehabilitation CurrentSince Jul 15, 2024 Accepting new patients
Integrative Sports and Spine Inc CurrentSince Mar 20, 2019 Accepting new patients

Locations

9080 Irvine Center Dr
Irvine, CA 92618
Phone (949) 540-5641

2683 Pacific Ave
Long Beach, CA 90806
Phone (562) 997-2171

1601 Dove St
Ste 275
Newport Beach, CA 92660
Phone (310) 853-6390

925 Toppino Dr
Key West, FL 33040
Phone (305) 296-2212

3661 S Miami Ave
Ste 606
Miami, FL 33133
Phone (305) 854-9023

Interoperability endpoints

  • Direct secure messaging: asepulveda@landmarkhealth-direct.org

Organizations & group practices 3

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": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1790243657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S BISCAYNE BLVD APT 923",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312307",
            "telephone_number": "305-815-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 606",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334248",
            "telephone_number": "305-701-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSEN",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011219",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "PAULSEN",
            "middle_name": "MARIA",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.