MRS. SHAZIA TABASSUM ANSARI APRN
NPI 1669162020
Nurse Practitioner - Family in Miramar, FL

Active since May 09, 2023PECOS EnrolledAccepts Medicare Assignment
17465 SW 29TH ST, MIRAMAR, FL 33029(786) 374-6055 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Shazia Tabassum Ansari Aprn NPPES

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

MRS. SHAZIA TABASSUM ANSARI APRN (NPI 1669162020) is an individual family provider in Miramar, Florida, licensed in Florida (11004095) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Miramar, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669162020
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHAZIA TABASSUM ANSARICredential: APRN
Location Address17465 SW 29TH STMiramar, FL 33029-5567
Mailing Address17465 Sw 29th StMiramar, FL 33029-5567 · (786) 374-6055
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 9, 2023
NPPES CertifiedMay 9, 2023
NPI 1669162020 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 · 11004095
17465 SW 29TH ST, Miramar, FL 33029

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

Mrs. Shazia Tabassum Ansari Aprn 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 ID3971037425
PECOS Enrollment IDI20241107000088
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Miramar

Acute Care Hospitals · Miramar, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100285
Location1901 SW 172nd AveMiramar, FL 33029 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33029 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669162020, enumerated as an "individual" on May 09, 2023.

The provider is located at 17465 SW 29TH ST MIRAMAR, FL 33029 and the phone number is (786) 374-6055.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Shazia Ansari is affiliated with: MEMORIAL HOSPITAL MIRAMAR.