Individual provider Active NPI

Andrelle Franck

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1801446398
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11000060 Issued in FL
Practice address
3980 SW 153Rd Ave
Miramar, FL 33027-3367
Phone
(954) 628-2378
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11000060 FL
Family Nurse Practitioner 363LF0000X 11000060 FL Primary

Addresses

Primary practice location

3980 SW 153Rd Ave
Miramar, FL 33027-3367

Mailing address

3980 SW 153Rd Ave
Miramar, FL 33027-3367
Phone (954) 628-2378

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
I20200701002342 FL Practitioner - Nurse Practitioner 2466875851 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11000060FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seasons Medical Group of Florida PA CurrentSince Sep 1, 2024 Accepting new patients
Camillus Health Concern, Inc. CurrentSince Nov 18, 2019 Accepting new patients
Seasons Hospice & Palliative Care of Broward Florida LLC CurrentSince Sep 1, 2024 Accepting new patients
Camillus Health Concern Inc CurrentSince Nov 18, 2019 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince May 7, 2024 Accepting new patients

Locations

1815 Griffin Rd
Ste 410
Dania Beach, FL 33004
Phone (954) 624-7900

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

336 NW 5th St
Miami, FL 33128
Phone (305) 477-4840

1200 S Pine Island Rd
Ste 350
Plantation, FL 33324
Phone (305) 223-2000

17855 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 201-3800

Organizations & group practices 6

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": "1685923200000",
    "number": "1801446398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 SW 153RD AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273367",
            "telephone_number": "954-628-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 SW 153RD AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273367",
            "telephone_number": "954-628-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCK",
        "first_name": "ANDRELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11000060",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.