JOHANN ALEXANDER HAIDACHER APRN FNP
NPI 1952123390
Nurse Practitioner - Family in Hollywood, FL

Q: What is Johann Haidacher's NPI number?

The NPI number for Johann Haidacher is 1952123390. It was assigned to this individual provider in the NPPES registry on October 28, 2024.

Q: What is Johann Haidacher's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Johann Haidacher was last updated on July 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 28, 2024PECOS EnrolledAccepts Medicare Assignment

1150 N 35TH AVE STE 590, HOLLYWOOD, FL 33021(954) 276-3500(954) 265-1431 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Johann Alexander Haidacher Aprn Fnp NPPES

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

JOHANN ALEXANDER HAIDACHER APRN FNP (NPI 1952123390) is an individual family provider in Hollywood, Florida, licensed in Florida (11036185) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Pembroke, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1952123390

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJOHANN ALEXANDER HAIDACHERCredential: APRN FNP

Location Address1150 N 35TH AVE STE 590Hollywood, FL 33021-5468

Mailing Address2900 Corporate Way # DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074

Phone(954) 276-3500

Fax(954) 265-1431

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 28, 2024

Last NPPES UpdateJuly 19, 2026

NPPES CertifiedJuly 19, 2026

✔ NPI 1952123390 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 · 11036185

1150 N 35TH AVE STE 590, Hollywood, FL 33021

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Johann Alexander Haidacher Aprn Fnp 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 ID1557857687

PECOS Enrollment IDI20251229001198

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 Johann Haidacher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Broward Hospital District

Same address

Neurology

1150 N 35TH AVE STE 590
Hollywood, FL 33021

Reassigned Medicare billing, Florida enrollment
49 clinicians in this Medicare group

NPI 1700216496 (954) 265-9500

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 2

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

Memorial Hospital Pembroke

Acute Care Hospitals · Pembroke Pines, FL

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100230

Location7800 Sheridan StPembroke Pines, FL 33024 · Broward County

Emergency services

Memorial Hospital West

Acute Care Hospitals · Pembroke Pines, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100281

Location703 N Flamingo RdPembroke Pines, FL 33028 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL L GINSBERG MD

Psychiatry & Neurology (Neurology)