Individual provider Active NPI

Virginia G Viera, PA-C

  • Medical Physician Assistant
  • Miramar, FL
National Provider Identifier
1992043715
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9104975 Issued in FL
Practice address
12012 Miramar Pkwy
Miramar, FL 33025-7000
Phone
(954) 435-7938
NPI assigned
Jan 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9104975 FL Primary

Addresses

Primary practice location

12012 Miramar Pkwy
Miramar, FL 33025-7000

Mailing address

11251 Heron Bay Blvd
3416
Coral Springs, FL 33076-1653
Phone (954) 531-9312

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
I20181023001093 FL Practitioner - Physician Assistant 1850661935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mecnb LLCGroup PAC ID 7911959341, 28 clinicians

Practice addresses (Care Compare)

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

2720 10TH Ave N
Suite 100
Lake Worth, FL 33461-3100
Phone (561) 540-4446

328 Northlake Blvd
North Palm Beach, FL 33408-5421
Phone (561) 626-4878

525 S Federal Hwy
Deerfield BCH, FL 33441-4100
Phone (954) 421-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9104975FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mecnb, LLC CurrentSince Nov 18, 2022 Accepting new patients
Mecnb, LLC CurrentSince Nov 18, 2022 Accepting new patients

Locations

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

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

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

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

Organizations & group practices 3

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": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1992043715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11251 HERON BAY BLVD",
            "address_2": "3416",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330761653",
            "telephone_number": "954-531-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257000",
            "telephone_number": "954-435-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERA",
        "first_name": "VIRGINIA",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.