JEFFERSON DIAS (APRN) – Family Nurse Practitioner, NPI 1154054260

JEFFERSON DIAS (APRN) is a healthcare provider. based in Pompano beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11018526 (FL). The NPI Number for JEFFERSON DIAS (APRN) is 1154054260

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JEFFERSON DIAS (APRN)
NPI
1154054260
Phone
(954) 368-1302
Address
3402 N ANDREWS AVENUE EXT
Enumeration Date
6 July 2022
Last Update Date
6 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5615404446
Graduation Year
2021 (5 years ago)
PAC ID
4789106543
Group Practice PAC ID
7911959341
Professional Enrollment ID
I20250320003945
Address ID
FL334613100LA2720XNXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JEFFERSON DIAS (APRN)

  • 3402 N ANDREWS AVENUE EXT

    POMPANO BEACH, FL 330642067

    Phone: (954) 368-1302

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-09-30 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20250320003945INurse PractitionerFLTBD

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 33064)

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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: 7911959341View full group profile

Reviews

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Frequently asked questions

What is the registry number for JEFFERSON DIAS (APRN)?
The registry entry for JEFFERSON DIAS (APRN) shows NPI 1154054260.
Does the public listing show JEFFERSON DIAS (APRN) as active?
JEFFERSON DIAS (APRN)'s NPI record reflects an active status in NPPES.
How should patients interpret JEFFERSON DIAS (APRN)'s specialty?
The extract shows Family Nurse Practitioner for JEFFERSON DIAS (APRN). Clinical services aligned with this taxonomy classification.
Which community is linked to JEFFERSON DIAS (APRN)?
JEFFERSON DIAS (APRN) shows a connection to Pompano Beach, Florida in registry-derived data.
Can I export JEFFERSON DIAS (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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