Individual provider Active NPI

Nicole Elena Mas, APRN

  • Acute Care Nurse Practitioner
  • Miami, FL
National Provider Identifier
1942958251
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11015341 Issued in FL
Practice address
12726 SW 100TH Ter
Miami, FL 33186-2357
Phone
(786) 290-2553
NPI assigned
Mar 15, 2022
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11015341 FL Primary

Addresses

Primary practice location

12726 SW 100TH Ter
Miami, FL 33186-2357

Mailing address

12726 SW 100TH Ter
Miami, FL 33186-2357
Phone (786) 290-2553

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
I20251021002734 FL Practitioner - Nurse Practitioner 9638667793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12726 SW 100TH Ter
Miami, FL 33186-2357

6100 Waterford District Dr
Suite 450
Miami, FL 33126-4692

9299 Coral Reef Dr
Suite 203
Palmetto Bay, FL 33157-1769

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11015341FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prager Simon & Associates LLP CurrentSince Sep 1, 2025 Accepting new patients
Professional Healthcare Associates LLC Past Accepting new patients

Locations

9299 SW 152nd St
Ste 203
Palmetto Bay, FL 33157
Phone (305) 234-9180

75 Remittance Dr
Dept 6997
Chicago, IL 60675

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

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1942958251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12726 SW 100TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862357",
            "telephone_number": "786-290-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12726 SW 100TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862357",
            "telephone_number": "786-290-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAS",
        "first_name": "NICOLE",
        "middle_name": "ELENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11015341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.