Individual provider Active NPI

Kim Miner, APRN

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1982200705
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009865 Issued in FL
Practice address
1 SE Ocean Blvd
Stuart, FL 34994-2214
Phone
(772) 342-0004
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 11009865 FL Primary

Addresses

Primary practice location

1 SE Ocean Blvd
Stuart, FL 34994-2214

Mailing address

1 SE Ocean Blvd
Stuart, FL 34994-2214
Phone (772) 342-0004

Other names 1

  • Kim Miner Professional name

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
I20220426000210 FL Practitioner - Nurse Practitioner 1951798727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mecnb LLCGroup PAC ID 7911959341, 28 clinicians
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians

Practice addresses (Care Compare)

225 S US Hwy 1
Tequesta, FL 33469-2701
Phone (561) 747-4464

640 21St St
Vero Beach, FL 32960-0933
Phone (772) 299-1092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009865FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mecnb, LLC CurrentSince May 29, 2025 Accepting new patients
MD Now Medical Centers Inc Current Accepting new patients
MD Now Medical Centers Inc CurrentSince Feb 28, 2022 Accepting new patients
Mecnb, LLC CurrentSince May 29, 2025 Accepting new patients
Mecnb, LLC Current Accepting new patients

Locations

1838 Rye Rd
#107
Bradenton, FL 34212
Phone (941) 462-2004

750 S Federal Hwy
Deerfield Beach, FL 33441
Phone (954) 421-8181

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

328 Northlake Blvd
North Palm Beach, FL 33408
Phone (561) 249-4449

6515 S Kanner Hwy
Stuart, FL 34997
Phone (772) 463-1123

225 S US Highway 1
Tequesta, FL 33469
Phone (561) 747-4464

640 21st St
Vero Beach, FL 32960
Phone (772) 299-1092

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 5

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": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1982200705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942214",
            "telephone_number": "772-342-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942214",
            "telephone_number": "772-342-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "KIM",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "MINER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.