Individual provider Active NPI

Niovis Garcia Fernandez, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1851944730
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11003368 Issued in FL
Practice address
180 NW 62ND St
Miami, FL 33150-4543
Phone
(786) 360-5625
Fax
(786) 364-1979
NPI assigned
Jul 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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 11003368 FL Primary

Addresses

Primary practice location

180 NW 62ND St
Miami, FL 33150-4543

Mailing address

180 NW 62ND St
Miami, FL 33150-4543
Phone (786) 360-5625

Other practice location 1

3142 SW 64th Ave
Miami, FL 33155-3928
Phone (786) 444-7252

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
I20230530003015 FL Practitioner - Nurse Practitioner 8325405731 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medisun 62 Medical Center LLCGroup PAC ID 7214287572, 6 clinicians

Practice addresses (Care Compare)

180 NW 62ND St
Miami, FL 33150-4543
Phone (786) 360-5625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003368FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medisun Medical Center 2 Inc CurrentSince Feb 14, 2026 Accepting new patients
Medisun 62 Medical Center LLC CurrentSince May 2, 2023 Accepting new patients

Locations

180 NW 62nd St
Miami, FL 33150
Phone (786) 360-5625

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1851944730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504543",
            "telephone_number": "786-360-5625",
            "fax_number": "786-364-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NW 62ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331504543",
            "telephone_number": "786-360-5625",
            "fax_number": "786-364-1979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3142 SW 64th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331553928",
            "country_code": "US",
            "telephone_number": "786-444-7252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA FERNANDEZ",
        "first_name": "NIOVIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.