Individual provider Active NPI

Caitlan Clancy, DPM

  • Podiatrist
  • Atlantis, FL
National Provider Identifier
1013405935
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4145 Issued in FL
Practice address
180 JFK Dr Ste 100
Atlantis, FL 33462-6641
Phone
(561) 967-6500
Fax
(561) 433-4175
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4145 FL Primary

Addresses

Primary practice location

180 JFK Dr Ste 100
Atlantis, FL 33462-6641

Mailing address

180 JFK Dr Ste 100
Atlantis, FL 33462-6641
Phone (561) 967-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624001585 FL Practitioner - Podiatry 4688075922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Center of Palm Beach County, LLC 24 clinicians

Practice addresses (Care Compare)

180 JFK Dr
Suite 100
Atlantis, FL 33462-6641
Phone (561) 967-6500

Hospital & facility affiliations

  • Community Home Health Services Home health agency, Lake Worth, FL, CCN 107325
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County CurrentSince Aug 16, 2021 Accepting new patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Aug 16, 2021 Accepting new patients
Orthopedic Center of Palm Beach County, Inc. Past Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

1905 Clint Moore Rd
Ste 214
Boca Raton, FL 33496
Phone (561) 241-8668

4705 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 220-2622

10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone 5619676500 ext. 1324

4601 Military Trl
Ste 209
Jupiter, FL 33458
Phone (561) 779-1520

180 John F Kennedy Dr
Ste 100
Lake Worth, FL 33462

1221 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 697-6500

Networks

  • FL HMO D-SNP
  • FL HMO C-SNP
  • FL PPO
  • FL HMO

Interoperability endpoints

  • Direct secure messaging: caitlan.clancy.1@26475.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26475/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1013405935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JFK DR STE 100",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500",
            "fax_number": "561-433-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR STE 100",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500",
            "fax_number": "561-433-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLANCY",
        "first_name": "CAITLAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.