Individual provider Active NPI

Maylee Perez Soto

  • Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1861069627
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11013524 Issued in FL
Practice address
8776 Thousand Pines Cir
West Palm Beach, FL 33411-1900
Phone
(561) 662-4437
NPI assigned
Jun 9, 2021
Last updated
Jun 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11013524 FL Primary

Addresses

Primary practice location

8776 Thousand Pines Cir
West Palm Beach, FL 33411-1900

Mailing address

8776 Thousand Pines Cir
West Palm Beach, FL 33411-1900
Phone (561) 662-4437

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
I20211129002494 FL Practitioner - Nurse Practitioner 1456760578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2311 10TH Ave N
Suite 8
Lake Worth, FL 33461-6605
Phone (561) 662-4437

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11013524FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simply Home Health Care, LLC Current Accepting new patients
Israel Machin MD PA CurrentSince Aug 1, 2021 Accepting new patients
Body Care Medspa LLC Nurse Practitioner CurrentSince May 1, 2025 Accepting new patients

Locations

2311 10th Ave N
Ste 8
Lake Worth, FL 33461
Phone (561) 662-4437

1511 Forest Hill Blvd
Ste C
West Palm Beach, FL 33406
Phone (561) 433-3556

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEIDBD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Simply Home Health Care, LLCLake Worth, FL, CCN 687166 Home health agency 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer (50%)
Corporate Director (50%)
W-2 Managing Employee (50%)
Oct 20, 2020
Oct 20, 2020
Oct 20, 2020
Oct 20, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1861069627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8776 THOUSAND PINES CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334111900",
            "telephone_number": "561-662-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8776 THOUSAND PINES CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334111900",
            "telephone_number": "561-662-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ SOTO",
        "first_name": "MAYLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11013524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.