INTEGRATED PRIMARY CARE & PSYCH MENTAL HEALTH LLC
NPI 1730715897
Nurse Practitioner - Psychiatric/Mental Health in Sunrise, FL

Active since March 19, 2020
4300 N UNIVERSITY DR STE C103, SUNRISE, FL 33351(954) 478-5763(954) 901-2713 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2021, Mar 31, 2020, Mar 20, 2020 (3 updates tracked since 2020).

About Integrated Primary Care & Psych Mental Health Llc NPPES

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

INTEGRATED PRIMARY CARE & PSYCH MENTAL HEALTH LLC (NPI 1730715897) is a healthcare organization registered as a psychiatric/mental health in Sunrise, Florida and active in the NPI registry since March 2020. The organization lists Nicolas Emanuel Aquino-munoz, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1730715897
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINTEGRATED PRIMARY CARE & PSYCH MENTAL HEALTH LLC
Location Address4300 N UNIVERSITY DR STE C103Sunrise, FL 33351-6243
Mailing Address4300 N University Dr Ste C103Sunrise, FL 33351-6243 · (954) 478-5763 · Fax (954) 901-2713
Fax(954) 901-2713
Organization SubpartNo
Authorized OfficialNicolas Emanuel Aquino-munozChief Executive Officer · (954) 667-4186
Enumeration DateMarch 19, 2020
Last NPPES UpdateAugust 10, 20213 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1730715897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
4300 N UNIVERSITY DR STE C103, Sunrise, FL 33351

Other Identifiers 1

Other1376918631FL · Npi

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Primary Care & Psych Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Integrated Primary Care & Psych Mental Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1376918631
4300 N UNIVERSITY DR STE C103
Sunrise, FL 33351
(954) 478-5763
✔ PECOS0.1 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 Integrated Primary Care & Psych Mental Health LLC's NPI number?

The NPI number for Integrated Primary Care & Psych Mental Health LLC is 1730715897. It was assigned to this organization in the NPPES registry on March 19, 2020.

Where is Integrated Primary Care & Psych Mental Health LLC located?

Integrated Primary Care & Psych Mental Health LLC is located at 4300 N University Dr Ste C103, Sunrise, FL 33351. The listed phone number is (954) 478-5763.

What is Integrated Primary Care & Psych Mental Health LLC's specialty?

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

Is Integrated Primary Care & Psych Mental Health LLC enrolled in Medicare?

Yes. Integrated Primary Care & Psych Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Primary Care & Psych Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Integrated Primary Care & Psych Mental Health LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrated Primary Care & Psych Mental Health LLC was last updated on August 10, 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.