Individual provider Active NPI

Miriam Rusindo Bermudez, APRN

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1851021950
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11019319 Issued in FL
Practice address
1407 Viscaya Pkwy Ste 2
Cape Coral, FL 33990-6200
Phone
(239) 772-0111
Fax
(239) 772-0267
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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 APRN11019319 FL Primary

Addresses

Primary practice location

1407 Viscaya Pkwy Ste 2
Cape Coral, FL 33990-6200

Mailing address

3101 42ND Ter SW
Naples, FL 34116-8352
Phone (239) 307-9304

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
I20220621001396 FL Practitioner - Nurse Practitioner 2365821477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M and H Med Housecalls LLCGroup PAC ID 2961750146, 24 clinicians
Hospitalist Medicine Physicians of Mississippi-TCG, Inc.Group PAC ID 2961881503, 14 clinicians

Practice addresses (Care Compare)

1407 Viscaya Pkwy
Suite 2
Cape Coral, FL 33990-6200
Phone (407) 647-2346

3601 Lakewood Blvd
Naples, FL 34112-6145
Phone (239) 775-7757

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11019319FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M & H Med Housecalls, LLC CurrentSince Jun 15, 2022 Accepting new patients
Hospitalist Medicine Physicians of Mississippi-TCG, Inc. CurrentSince Jan 1, 2023 Accepting new patients

Locations

305 E Oak St
Apopka, FL 32703
Phone (407) 880-2265

1407 Viscaya Pkwy
Ste 2
Cape Coral, FL 33990
Phone (239) 772-0111

701 Lake Port Blvd
Leesburg, FL 34748
Phone (352) 728-3366

4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1851021950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 42ND TER SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341168352",
            "telephone_number": "239-307-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 VISCAYA PKWY STE 2",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339906200",
            "telephone_number": "239-772-0111",
            "fax_number": "239-772-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSINDO BERMUDEZ",
        "first_name": "MIRIAM",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11019319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.