HEAVENLY SOUL'S CARE
NPI 1689248064
Nurse Practitioner - Psychiatric/Mental Health in North Miami, FL

Active since May 19, 2021
13000 NE 12TH AVE, NORTH MIAMI, FL 33161(786) 999-9909 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2021, May 19, 2021 (2 updates tracked since 2021).

About Heavenly Soul's Care NPPES

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

HEAVENLY SOUL'S CARE (NPI 1689248064) is a healthcare organization registered as a psychiatric/mental health in North Miami, Florida and active in the NPI registry since May 2021. The organization lists Rosie Michel, Manager, as its authorized official.

NPPES Registry Identity

NPI1689248064
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameHEAVENLY SOUL'S CARE
Location Address13000 NE 12TH AVENorth Miami, FL 33161-4305
Mailing Address16756 Ne 4th CtNorth Miami Beach, FL 33162-3975 · (786) 999-9909
Organization SubpartNo
Authorized OfficialRosie MichelManager · (786) 999-9909
Enumeration DateMay 19, 2021
Last NPPES UpdateAugust 6, 20212 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1689248064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
13000 NE 12TH AVE, North Miami, FL 33161

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heavenly Soul's Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Heavenly Soul's Care, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1699372003
12955 BISCAYNE BLVD
North Miami, FL 33181
(305) 895-3231
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1558193755
111 NW 183RD ST STE 203
Miami Gardens, FL 33169
(786) 809-4101
✔ PECOS✔ Accepts Medicare3.8 mi
Nurse Practitioner
NPI 1801508536
15200 SW 46TH CT
Miramar, FL 33027
(786) 315-6588
✔ PECOS12 mi
Nurse Practitioner
NPI 1962089011
4801 S UNIVERSITY DR STE 239
Davie, FL 33328
(954) 249-1984
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Heavenly Soul's Care's NPI number?

The NPI number for Heavenly Soul's Care is 1689248064. It was assigned to this organization in the NPPES registry on May 19, 2021.

Where is Heavenly Soul's Care located?

Heavenly Soul's Care is located at 13000 NE 12th Ave, North Miami, FL 33161. The listed phone number is (786) 999-9909.

What is Heavenly Soul's Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Heavenly Soul's Care enrolled in Medicare?

Yes. Heavenly Soul's Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Heavenly Soul's Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Heavenly Soul's Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Heavenly Soul's Care accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Heavenly Soul's Care 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 Heavenly Soul's Care was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.