MARIE MICHELLE ALTIDOR MESIDOR FNP-C
NPI 1245713742
Nurse Practitioner - Family in Miami, FL

Q: What is Marie Altidor Mesidor's NPI number?

The NPI number for Marie Altidor Mesidor is 1245713742. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Q: What is Marie Altidor Mesidor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 11, 2018PECOS Enrolled

425 NE 148TH ST, MIAMI, FL 33161(305) 809-6838 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Marie Michelle Altidor Mesidor Fnp-c NPPES

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

MARIE MICHELLE ALTIDOR MESIDOR FNP-C (NPI 1245713742) is an individual family provider in Miami, Florida, licensed in Florida (ARNP1999742) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245713742

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIE MICHELLE ALTIDOR MESIDORCredential: FNP-C

Location Address425 NE 148TH STMiami, FL 33161-2132

Mailing Address425 Ne 148th StMiami, FL 33161-2132

Phone(305) 809-6838

Sole ProprietorYes

Enumeration DateSeptember 11, 2018

✔ NPI 1245713742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · ARNP1999742

425 NE 148TH ST, Miami, FL 33161

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie Michelle Altidor Mesidor Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33161 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

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 Marie Altidor Mesidor's NPI number?

The NPI number for Marie Altidor Mesidor is 1245713742. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Marie Altidor Mesidor located?

Marie Altidor Mesidor practices at 425 NE 148th St, Miami, FL 33161. The listed phone number is (305) 809-6838.

What is Marie Altidor Mesidor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marie Altidor Mesidor enrolled in Medicare?

Yes. Marie Altidor Mesidor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marie Altidor Mesidor was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.