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RONALD VICTOR EMMANUEL
NPI 1053044081
Nurse Practitioner - Gerontology in Plantation, FL

Active since July 07, 2022PECOS EnrolledAccepts Medicare Assignment
4302 W BROWARD BLVD, PLANTATION, FL 33317(954) 644-8902(877) 967-5710 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2024, May 15, 2024, Jul 7, 2022 (3 updates tracked since 2022).

About Ronald Victor Emmanuel NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD VICTOR EMMANUEL (NPI 1053044081) is an individual gerontology provider in Plantation, Florida, licensed in Florida (11016116) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Plantation, and is a graduate of Florida International Univ, College Of Medicine (2021).

NPPES Registry Identity

NPI1053044081
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameRONALD VICTOR EMMANUEL
Location Address4302 W BROWARD BLVDPlantation, FL 33317-3780
Mailing Address1000 Nw 57th Ct Ste 400Miami, FL 33126-3292 · (305) 649-8100 · Fax (877) 967-5710
Phone(954) 644-8902
Fax(877) 967-5710
Sole ProprietorNo
Medical School CMSFlorida International Univ, College Of MedicineGraduated 2021
Enumeration DateJuly 7, 2022
Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1053044081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · 11016116
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11016116 (FL)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 11016116 (FL)
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 11016116 (FL)
4302 W BROWARD BLVD, Plantation, FL 33317
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Secondary Practice Location 1

Location 14306 W Broward BlvdPlantation, FL 33317-3752 · Phone (954) 644-8902 · Fax (877) 967-5710

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ronald Victor Emmanuel is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416491931
PECOS Enrollment IDI20240626000064
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33317 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALINA POLL
Nurse Practitioner (Family)
4302 W BROWARD BLVD
PLANTATION, FL 33317
Broward County (954) 644-8902
JONES CEMELUS M.D
General Practice
4302 W BROWARD BLVD
PLANTATION, FL 33317
Broward County (954) 644-8902
JEFFREY M GRAN PSY D PA
Clinical Neuropsychologist
4302 W BROWARD BLVD, SUITE 800
PLANTATION, FL 33317
Broward County (954) 893-7829
CAREMAX MEDICAL CENTER OF BROWARD LLC
Clinic/Center
4302 W BROWARD BLVD
PLANTATION, FL 33317
Broward County (954) 644-8902
MRS. NICOLE LYNN VREDENBURG LCSW
Social Worker (Clinical)
4302 W BROWARD BLVD, SUITE 800
PLANTATION, FL 33317
Broward County (954) 854-6533
DR. JEFFREY MILES GRAN PSY.D.
Clinical Neuropsychologist
4302 W BROWARD BLVD, SUITE 800
PLANTATION, FL 33317
Broward County (954) 893-7829
DR. WILLIAM JOHN DICKERSON II MD
Internal Medicine (Gastroenterology)
4302 W BROWARD BLVD, SUITE 200
PLANTATION, FL 33317
Broward County (954) 771-3433
CAREMAX MEDICAL CENTER OF BROWARD LLC
Clinic/Center (Primary Care)
4302 W BROWARD BLVD
PLANTATION, FL 33317
Broward County (954) 644-8902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Emmanuel's NPI number?

The NPI number for Ronald Emmanuel is 1053044081. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Where is Ronald Emmanuel located?

Ronald Emmanuel practices at 4302 W Broward Blvd, Plantation, FL 33317. The listed phone number is (954) 644-8902.

What is Ronald Emmanuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Ronald Emmanuel enrolled in Medicare?

Yes. Ronald Emmanuel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ronald Emmanuel accept?

Health plans from AvMed, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Ronald Emmanuel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronald Emmanuel was last updated on July 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.