PATRYCJA PUT APRN
NPI 1689447435
Nurse Practitioner - Gerontology in Pembroke Pines, FL

Active since November 02, 2023PECOS EnrolledAccepts Medicare Assignment
703 N FLAMINGO RD, PEMBROKE PINES, FL 33028(954) 436-5000 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Patrycja Put Aprn NPPES

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

PATRYCJA PUT APRN (NPI 1689447435) is an individual gerontology provider in Pembroke Pines, Florida, licensed in Florida (11019180) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and maintains a secondary practice location in Hollywood.

NPPES Registry Identity

NPI1689447435
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NamePATRYCJA PUTCredential: APRN
Location Address703 N FLAMINGO RDPembroke Pines, FL 33028-1014
Mailing Address5168 Sw 121st AveCooper City, FL 33330-4487
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 2, 2023
NPPES CertifiedNovember 2, 2023
✔ NPI 1689447435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · 11019180
703 N FLAMINGO RD, Pembroke Pines, FL 33028

Secondary Practice Location 1

Location 13501 Johnson StHollywood, FL 33021-5421 · Phone (954) 987-2000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patrycja Put 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 ID1355788670
PECOS Enrollment IDI20240322000882
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.

Medicare Billing Reassignment

Medicare enrollment records show Patrycja Put reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Acute Care Hospital
703 N FLAMINGO RD
Pembroke Pines, FL 33028
  • Reassigned Medicare billing, Florida enrollment
  • 466 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33028 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.

Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Emergency Medicine
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Emergency Medicine
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028
Student in an Organized Health Care Education/Training Program
703 N FLAMINGO RD
PEMBROKE PINES, FL 33028

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 Patrycja Put's NPI number?

The NPI number for Patrycja Put is 1689447435. It was assigned to this individual provider in the NPPES registry on November 2, 2023.

Where is Patrycja Put located?

Patrycja Put practices at 703 N Flamingo Rd, Pembroke Pines, FL 33028. The listed phone number is (954) 436-5000.

What is Patrycja Put's specialty?

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

Is Patrycja Put enrolled in Medicare?

Yes. Patrycja Put 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.

Which organization bills Medicare for Patrycja Put's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrycja Put reassigns Medicare benefits to South Broward Hospital District (Pembroke Pines, FL). The 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 Patrycja Put's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrycja Put accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Patrycja Put 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.

Is Patrycja Put affiliated with any hospitals?

According to CMS data, Patrycja Put is affiliated with Memorial Regional Hospital.

When was this NPI record last updated?

The NPPES record for Patrycja Put was last updated on November 2, 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.