Organization Active NPI

Premier Med-Clinic Inc

  • Family Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1932915584
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PREMIER MED-CLINIC INC
Practice address
5901 NW 183Rd St Ste 211
Hialeah, FL 33015-6017
Phone
(786) 342-4843
NPI assigned
Dec 9, 2024
Last updated
Dec 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Authorized official

Name
Gretel FranchNPI 1710339353
Title
Authorized Official
Phone
(786) 342-4843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

5901 NW 183Rd St Ste 211
Hialeah, FL 33015-6017

Mailing address

5901 NW 183Rd St Ste 211
Hialeah, FL 33015-6017
Phone (786) 342-4843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250919001815 FL Part B Supplier - Clinic/Group Practice 6204330483 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2318693Premier Med-Clinic Inc5901 NW 183Rd St, Ste 211, Miami, FL 33015Certificate of waiverFeb 16, 2027

National Provider Directory

National Provider Directory

Locations

5901 NW 183rd St
Ste 211
Hialeah, FL 33015
Phone (786) 342-4843

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1932915584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 NW 183RD ST STE 211",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156017",
            "telephone_number": "786-342-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 NW 183RD ST STE 211",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330156017",
            "telephone_number": "786-342-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MED-CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "FRANCH",
        "authorized_official_first_name": "GRETEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-342-4843"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.