Individual provider Active NPI

Medlyne St Fort, ARNP

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1043073661
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11030947 Issued in FL
Practice address
4942 Purdue Dr
Boynton Beach, FL 33436-7722
Phone
(561) 261-8399
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11030947 FL Primary

Addresses

Primary practice location

4942 Purdue Dr
Boynton Beach, FL 33436-7722

Mailing address

4942 Purdue Dr
Boynton Beach, FL 33436-7722
Phone (561) 261-8399

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905001874 FL Practitioner - Nurse Practitioner 6901308352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors House Calls of Florida LLCGroup PAC ID 9335433465, 16 clinicians

Practice addresses (Care Compare)

1239 SE Indian St
Suite 102
Stuart, FL 34997-5633
Phone (772) 781-2207

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
  • Preferred Care Home Health Services Home health agency, West Palm Beach, FL, CCN 687340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors House Calls of Florida, LLC CurrentSince Aug 18, 2025 Accepting new patients

Locations

1239 SE Indian St
Ste 102
Stuart, FL 34997
Phone (561) 900-2497

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24095/brand/1/csg/1/fhir/r4
  • Direct secure messaging: medlyne.st.fort.1@24095.direct.athenahealth.com

Organizations & group practices 1

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1043073661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4942 PURDUE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367722",
            "telephone_number": "561-261-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4942 PURDUE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367722",
            "telephone_number": "561-261-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST FORT",
        "first_name": "MEDLYNE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.