Active NPI
Bolanle Elenitoba-Johnson, APRN
- Family Nurse Practitioner
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11009141
- Practice address
- 400 Pinellas St Ste 220
Clearwater, FL 33756-3318 - Phone
- (727) 281-9390
- NPI assigned
- Nov 20, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11009141 | FL | Primary |
Addresses
Primary practice location
400 Pinellas St Ste 220
Clearwater, FL 33756-3318
Mailing address
2995 Drew St FL 2
Clearwater, FL 33759-3012
Phone (727) 446-2111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bolanie.elentioba-johnson@direct.mybaycare.org | Health Information Exchange (HIE) |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210819001004 | FL | Practitioner - Nurse Practitioner | 5395140958 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231
400 Pinellas St
Suite 220
Clearwater, FL 33756-3318
Phone (727) 462-3692
Hospital & facility affiliations
- Morton Plant Hospital
- St Josephs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009141 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Empath Health Pharmaceuticals, LLC | Current | Accepting new patients | |
| The Hospice of the Florida Suncoast, Inc. | Current | Accepting new patients |
Locations
400 Pinellas St
Ste 220
Clearwater, FL 33756
Phone (727) 462-3692
5771 Roosevelt Blvd
Ste 610
Clearwater, FL 33760
Phone (727) 523-2160
5771 Roosevelt Blvd
Clearwater, FL 33760
Phone (727) 523-2480
400 Pinellas St
Ste 400
Clearwater, FL 33756
Phone (727) 462-3401
1005 Pinellas St
Clearwater, FL 33756
Phone (727) 446-2111
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6310 Capital Dr
Lakewood Ranch, FL 34202
Phone (941) 552-7500
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
2675 Tampa Rd
Palm Harbor, FL 34684
Phone (727) 467-7423
2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601
Interoperability endpoints
- bolanle.elenitoba-johnson@direct.mybaycare.org
Organizations & group practices 3
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.
-
- Community Based Hospice Care Agency
- Palm Harbor, FL
- NPI 1124028204
FL
-
- Community/Retail Pharmacy
- Largo, FL
- NPI 1407257470
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053914937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 DREW ST FL 2",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593012",
"telephone_number": "727-446-2111",
"fax_number": "727-447-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 PINELLAS ST STE 220",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563318",
"telephone_number": "727-281-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELENITOBA-JOHNSON",
"first_name": "BOLANLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-20",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11009141",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bolanie.elentioba-johnson@direct.mybaycare.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 Pinellas St Ste 220",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337563318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.