Individual provider Active NPI

Nadege Salomon Jacques, ARNP

  • Family Nurse Practitioner
  • North Miami Beach, FL
National Provider Identifier
1992271084
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9275725 Issued in FL
Practice address
16800 NW 2ND Ave Ste 400
North Miami Beach, FL 33169-5501
Phone
(305) 690-4700
NPI assigned
Oct 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN9275725 FL Primary

Addresses

Primary practice location

16800 NW 2ND Ave Ste 400
North Miami Beach, FL 33169-5501

Mailing address

10436 SW 24TH St
Miramar, FL 33025-3991
Phone (954) 243-8829

Other practice location 1

16800 NW 2nd Ave Ste 400
North Miami Beach, FL 33169-5501
Phone (305) 690-4700

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
I20220519000835 FL Practitioner - Nurse Practitioner 8123451424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Palliative Care Services IncGroup PAC ID 7416189998, 16 clinicians

Practice addresses (Care Compare)

14875 NW 77TH Ave
Suite 100
Miami Lakes, FL 33014-2568
Phone (305) 351-7057

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.25
Improvement activities
40
Cost
82.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9275725FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Palliative Care Services, Inc. Single Specialty CurrentSince Apr 4, 2022 Accepting new patients

Locations

3487 NW 30th St
Lauderdale Lakes, FL 33311
Phone (954) 641-4200

14875 NW 77th Ave
Ste 100
Miami Lakes, FL 33014
Phone (305) 351-7057

14875 NW 77th Ave
Ste 201
Miami Lakes, FL 33014
Phone (305) 351-7086

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1992271084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 SW 24TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330253991",
            "telephone_number": "954-243-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 NW 2ND AVE STE 400",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695501",
            "telephone_number": "305-690-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16800 NW 2nd Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331695501",
            "country_code": "US",
            "telephone_number": "305-690-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "NADEGE",
        "middle_name": "SALOMON",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9275725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.