Individual provider Active NPI

Ana Milena Alphonse, ARNP

  • Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1912553587
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11003637 Issued in FL
Practice address
969 SE Central Pkwy
Stuart, FL 34994-3904
Phone
(772) 283-0109
Fax
(772) 283-1948
NPI assigned
Aug 10, 2019
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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 APRN11003637 FL Primary

Addresses

Primary practice location

969 SE Central Pkwy
Stuart, FL 34994-3904

Mailing address

6651 SW Key Deer LN # 66
Palm City, FL 34990-8868
Phone (973) 907-3318

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
I20190925003531 FL Practitioner - Nurse Practitioner 4789914250 Reassigns benefits to 1 organization

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
McKay Dermatology and Medspa, PAGroup PAC ID 0143514323, 4 clinicians

Practice addresses (Care Compare)

969 SE Central Pkwy
Stuart, FL 34994-3904
Phone (772) 283-0109

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.89 of 100Reported as group
Quality
75.44
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McKay Dermatology & Medspa, PA CurrentSince Jan 22, 2024 Accepting new patients

Locations

969 SE Central Pkwy
Stuart, FL 34994
Phone (772) 283-0109

Organizations & group practices 1

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 1

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": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1912553587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 SW KEY DEER LN # 66",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908868",
            "telephone_number": "973-907-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 SE CENTRAL PKWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943904",
            "telephone_number": "772-283-0109",
            "fax_number": "772-283-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALPHONSE",
        "first_name": "ANA",
        "middle_name": "MILENA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-10",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11003637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.