MERBELLA PRIMARY CARE & WELLNESS LLC
NPI 1912874603
Nurse Practitioner - Family in South Miami, FL

Active since October 20, 2025
6240 SW 58TH ST, SOUTH MIAMI, FL 33143(305) 992-3422 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Merbella Primary Care & Wellness Llc NPPES

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

MERBELLA PRIMARY CARE & WELLNESS LLC (NPI 1912874603) is a healthcare organization registered as a family in South Miami, Florida and active in the NPI registry since October 2025. The organization lists Mercedes Condom, Owner, as its authorized official.

NPPES Registry Identity

NPI1912874603
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMERBELLA PRIMARY CARE & WELLNESS LLC
Location Address6240 SW 58TH STSouth Miami, FL 33143-2104
Mailing Address6240 Sw 58th StSouth Miami, FL 33143-2104 · (305) 992-3422
Organization SubpartNo
Authorized OfficialMercedes CondomOwner · (305) 992-3422
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 19, 2025
✔ NPI 1912874603 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
6240 SW 58TH ST, South Miami, FL 33143

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Merbella Primary Care & Wellness 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 Merbella Primary Care & Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1831062009
6240 SW 58TH ST
South Miami, FL 33143
(305) 992-3422
✔ PECOSSame address

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 Merbella Primary Care & Wellness LLC's NPI number?

The NPI number for Merbella Primary Care & Wellness LLC is 1912874603. It was assigned to this organization in the NPPES registry on October 20, 2025.

Where is Merbella Primary Care & Wellness LLC located?

Merbella Primary Care & Wellness LLC is located at 6240 SW 58th St, South Miami, FL 33143. The listed phone number is (305) 992-3422.

What is Merbella Primary Care & Wellness LLC's specialty?

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

Is Merbella Primary Care & Wellness LLC enrolled in Medicare?

Yes. Merbella Primary Care & Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Merbella Primary Care & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Merbella Primary Care & Wellness 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 Merbella Primary Care & Wellness LLC was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.