Individual provider Active NPI

Kristen Foley Shay, ARNP

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1124351978
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9182060 Issued in FL
Practice address
9663 Westview Dr
Coral Springs, FL 33076-2513
Phone
(954) 320-3323
Fax
(954) 753-6377
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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 ARNP9182060 FL Primary

Addresses

Primary practice location

9663 Westview Dr
Coral Springs, FL 33076-2513

Mailing address

1608 SE 3Rd Ave
Third Floor Cbo-Pbo
Fort Lauderdale, FL 33316-2564

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
I20150713003087 FL Practitioner - Nurse Practitioner 0840503397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

690 Meadows Rd
Boca Raton, FL 33486-2344
Phone (904) 399-5550

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (904) 399-5550

Hospital & facility affiliations

  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9182060FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc CurrentSince Dec 1, 2021 Accepting new patients
Radiology Associates of South Florida LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1601 Clint Moore Rd
Ste 140
Boca Raton, FL 33487
Phone (561) 447-9341

3313 W Hillsboro Blvd
Ste 101
Deerfield Beach, FL 33442
Phone (954) 420-0100

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

Organizations & group practices 2

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 1

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1124351978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SE 3RD AVE",
            "address_2": "THIRD FLOOR CBO-PBO",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9663 WESTVIEW DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762513",
            "telephone_number": "954-320-3323",
            "fax_number": "954-753-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAY",
        "first_name": "KRISTEN",
        "middle_name": "FOLEY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9182060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.