NPIMap

Individual provider Active NPI

Kenson Belizaire

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1073180352
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11013409 Issued in FL
Practice address
4777 Capital Dr
Lake Worth, FL 33463-8186
Phone
(954) 864-4191
NPI assigned
Jun 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X APRN11013409 FL Primary

Addresses

Primary practice location

4777 Capital Dr
Lake Worth, FL 33463-8186

Mailing address

4777 Capital Dr
Lake Worth, FL 33463-8186
Phone (954) 864-4191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220730000401 FL Practitioner - Nurse Practitioner 3173916038 Reassigns benefits to 8 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
Duval Emergency Group LLC 23 clinicians
Emergency Medicine Services of FL LLC 686 clinicians
Hospital Physician Services of Florida PA 212 clinicians

Practice addresses (Care Compare)

160 NW 170TH St
N Miami BCH, FL 33169-5576
Phone (305) 651-1100

2201 45TH St
West Palm Beach, FL 33407-2047
Phone (561) 842-6141

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 882-2878

Hospital & facility affiliations

  • St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288
  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Sep 14, 2022 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Dec 1, 2025 Accepting new patients
Paragon Contracting Services LLC CurrentSince Dec 23, 2024 Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince Sep 14, 2022 Accepting new patients
Duval Emergency Group LLC CurrentSince Jul 3, 2024 Accepting new patients
Adventist Health System-Sunbelt Inc Family CurrentSince Sep 14, 2022 Accepting new patients
Accountable Care Hospitalist Group CurrentSince May 1, 2023 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Dec 1, 2022 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Sep 14, 2022 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

522 Carlton St
Wauchula, FL 33873
Phone (863) 773-0975

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 9

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1073180352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 CAPITAL DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334638186",
            "telephone_number": "954-864-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 CAPITAL DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334638186",
            "telephone_number": "954-864-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELIZAIRE",
        "first_name": "KENSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.