Individual provider Active NPI

Bolanle Elenitoba-Johnson, APRN

  • Family Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1053914937
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009141 Issued in FL
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

Updated by the provider on Jul 13, 2026

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 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

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 Hospital, Clearwater, FL, CCN 100127
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11009141FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Oct 26, 2022 Accepting new patients
Empath Health Pharmaceuticals, LLC CurrentSince Jul 26, 2022 Accepting new patients
The Hospice of the Florida Suncoast, Inc. CurrentSince Jul 26, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.