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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

Active since October 28, 2024PECOS Enrolled
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: July 26, 2026.

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 West, 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
Open in Google Maps ↗

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johann Alexander Haidacher Aprn Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Hospital Affiliations CMS Care Compare

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

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 11

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

PAUL L GINSBERG MD
Psychiatry & Neurology (Neurology)
1150 N 35TH AVE STE 590
HOLLYWOOD, FL 33021
Broward County (954) 265-9500
MHD TAREK ZAKARIA MD
Psychiatry & Neurology (Neurology)
1150 N 35TH AVE STE 590
HOLLYWOOD, FL 33021
Broward County (954) 265-9500
CHRISTOPHER AROCHA APRN
Nurse Practitioner (Family)
1150 N 35TH AVE STE 590
HOLLYWOOD, FL 33021
Broward County (954) 265-9500
BUSE SENGUL M.D.
Psychiatry & Neurology (Neurology)
1150 N 35TH AVE STE 590
HOLLYWOOD, FL 33021
Broward County (542) 659-5009
SOUTH BROWARD HOSPITAL DISTRICT
Psychiatry & Neurology (Neurology)
1150 N 35TH AVE STE 590
HOLLYWOOD, FL 33021
Broward County (954) 265-9500
DR. SEAN THOMAS KENNIFF M.D.
Psychiatry & Neurology (Neurology)
1150 N 35TH AVE STE 590
HOLLYWOOD, FL 33021
Broward County (954) 265-9500
MAIKE TIEDE BLAYA MD
Psychiatry & Neurology (Neurology)
1150 N 35TH AVE STE 590
HOLLYWOOD, FL 33021
Broward County (954) 265-9500
DR. MADILEY BROZ PSY.D.
Clinical Neuropsychologist
1150 N 35TH AVE STE 590
HOLLYWOOD, FL 33021
Broward County (954) 265-9500

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 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.

Where is Johann Haidacher located?

Johann Haidacher practices at 1150 N 35th Ave Ste 590, Hollywood, FL 33021. The listed phone number is (954) 276-3500.

What is Johann Haidacher's specialty?

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

Is Johann Haidacher enrolled in Medicare?

Yes. Johann Haidacher is registered in the Medicare PECOS enrollment system.

Is Johann Haidacher affiliated with any hospitals?

According to CMS data, Johann Haidacher is affiliated with Memorial Hospital West.

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 15 days 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.