Active NPI
Caitlan Clancy, DPM
- Podiatrist
- Atlantis, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO4145
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
180 JFK Dr
Suite 100
Atlantis, FL 33462-6641
Phone (561) 967-6500
Hospital & facility affiliations
- Community Home Health Services
- HCA Florida JFK Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Center of Palm Beach County | Current | Accepting new patients | |
| Orthopedic Center of Palm Beach County, LLC | Current | 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
- caitlan.clancy.1@26475.direct.athenahealth.com
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1891683801
-
- Durable Medical Equipment & Medical Supplies
- Lake Worth, FL
- NPI 1659453835
-
- Orthopaedic Surgery Physician
- Atlantis, FL
- NPI 1164963252
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
Hospital
-
- Home Health Agency
- Lake Worth, FL
- NPI 1386697936
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.