Individual provider Active NPI

Melissa Botero, APRN, FNP-BC

  • Nurse Practitioner
  • Plantation, FL
National Provider Identifier
1982246864
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11005937 Issued in FL
Practice address
1228 S Pine Island Rd Ste 410
Plantation, FL 33324-4583
Phone
(954) 837-1490
NPI assigned
Oct 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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 APRN11005937 FL Primary

Addresses

Primary practice location

1228 S Pine Island Rd Ste 410
Plantation, FL 33324-4583

Mailing address

PO Box 743144
Atlanta, GA 30374-3144
Phone (786) 594-6880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MEL28472@cerner.directbaptisthealth.com

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
I20201006002406 FL Practitioner - Nurse Practitioner 0941629224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
72.23
Promoting interoperability
99
Improvement activities
40
Cost
77.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11005937FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Oncology LLC CurrentSince Jul 27, 2022 Accepting new patients
Baptist Health Medical Group Oncology LLC CurrentSince Jul 27, 2022 Accepting new patients

Locations

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1228 S Pine Island Rd
Ste 410
Plantation, FL 33324
Phone (954) 837-1490

Interoperability endpoints

  • Direct secure messaging: mel28472@cerner.directbaptisthealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1982246864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743144",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743144",
            "telephone_number": "786-594-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 S PINE ISLAND RD STE 410",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244583",
            "telephone_number": "954-837-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTERO",
        "first_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-12",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11005937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MEL28472@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "1228 S Pine Island Rd Ste 410",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333244583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.