Ivan Lavandera Rodriguez
NPI 1417311622ActiveIndividual· Nurse Practitioner· Ft Lauderdale, FL
Nurse Practitioner with Florida Practitioners, LLC, practicing in Ft Lauderdale, Florida. Medicare paid $5,964 for services to 46 patients in 2024. Lists Memorial Hospital West as a hospital affiliation.
Overview
| NPI | 1417311622 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 13, 2016 |
| Last updated in NPPES | Apr 5, 2021 |
| Certified by provider | Apr 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11012299 | FL |
| Physician Assistant, Surgical | 363AS0400X | 15-528 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 46 |
|---|---|
| Services billed | 66 across 43 procedure codes |
| Paid by Medicare | $5,964 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Florida Practitioners, LLCFort Lauderdale, FL · 63 clinicians
Hospital affiliation
- Memorial Hospital WestPembroke Pines, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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