MS. BLONDINE EMILIEN (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1134734080

MS. BLONDINE EMILIEN (APRN) is a healthcare provider. based in Fort lauderdale, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN11008958 (FL). The NPI Number for MS. BLONDINE EMILIEN (APRN) is 1134734080

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
MS. BLONDINE EMILIEN (APRN)
NPI
1134734080
Phone
(954) 670-7413
Address
800 NE 62ND ST STE 2400
Enumeration Date
8 September 2020
Last Update Date
16 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8782013312
Graduation Year
2020 (6 years ago)
PAC ID
0446664833
Group Practice PAC ID
1456613637
Professional Enrollment ID
I20210126001871
Address ID
FL342321885SA4833XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MS. BLONDINE EMILIEN (APRN)

  • 800 NE 62ND ST STE 2400

    FORT LAUDERDALE, FL 333343560

    Phone: (954) 670-7413

    Type: Mailing

  • 6190 WILES RD APT 208

    CORAL SPRINGS, FL 330674305

    Phone: (954) 670-7413

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210126001871INurse PractitionerFLTBD
I20241028001121INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33334)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456613637View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerMI
Nurse PractitionerFL
-OH
Nurse PractitionerFL
-PA
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is MS. BLONDINE EMILIEN (APRN) listed with a National Provider Identifier?
Yes — MS. BLONDINE EMILIEN (APRN) has NPI 1134734080 on file in the registry.
Is MS. BLONDINE EMILIEN (APRN) still an active registrant?
MS. BLONDINE EMILIEN (APRN) carries an active NPI according to the public dataset.
How would a patient describe MS. BLONDINE EMILIEN (APRN)'s focus?
For MS. BLONDINE EMILIEN (APRN), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Florida is MS. BLONDINE EMILIEN (APRN) registered?
Use Fort Lauderdale, Florida as the headline location for MS. BLONDINE EMILIEN (APRN) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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