MEDERLINE PAUL
NPI 1609598036
Nurse Practitioner - Family in Fort Lauderdale, FL

Q: What is Mederline Paul's NPI number?

The NPI number for Mederline Paul is 1609598036. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Q: What is Mederline Paul's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mederline Paul was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 13, 2022PECOS Enrolled

200 NW 7TH AVE, FORT LAUDERDALE, FL 33311(954) 759-6600(954) 759-6665 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mederline Paul NPPES

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

MEDERLINE PAUL (NPI 1609598036) is an individual family provider in Fort Lauderdale, Florida, licensed in Florida (APRN11009217) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609598036

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMEDERLINE PAUL

Location Address200 NW 7TH AVEFort Lauderdale, FL 33311-9026

Mailing Address1700 Nw 49th StFort Lauderdale, FL 33309-3763 · (754) 268-3850 · Fax (954) 759-6600

Phone(954) 759-6600

Fax(954) 759-6665

Sole ProprietorYes

Enumeration DateSeptember 13, 2022

Last NPPES UpdateDecember 20, 2023

NPPES CertifiedDecember 20, 2023

✔ NPI 1609598036 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 · APRN11009217

200 NW 7TH AVE, Fort Lauderdale, FL 33311

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mederline Paul 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 33311 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 20

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

MARIA MAZZUCCO DMD

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