Individual provider Active NPI

Kerline Prospere-Daceus, ARNP

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1124457361
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9250885 Issued in FL
Practice address
2800 S Seacrest Blvd Ste 200
Boynton Beach, FL 33435-7966
Phone
(561) 736-8200
Fax
(561) 736-4635
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9250885 FL
Family Nurse Practitioner 363LF0000X APRN9250885 FL Primary

Addresses

Primary practice location

2800 S Seacrest Blvd Ste 200
Boynton Beach, FL 33435-7966

Mailing address

1001 NW 13TH St Ste 201
Boca Raton, FL 33486-2269
Phone (561) 955-6663

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
I20160218000693 FL Practitioner - Nurse Practitioner 5193020840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

2800 S Seacrest Blvd
Suite 200
Boynton Beach, FL 33435-7966
Phone (561) 736-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9250885FLMDFamily Nurse Practitioner
APRN9250885FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc CurrentSince Oct 1, 2020 Accepting new patients
Bocacare Inc CurrentSince Oct 1, 2020 Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

2800 S Seacrest Blvd
Ste 140
Boynton Beach, FL 33435
Phone (561) 734-2746

2800 S Seacrest Blvd
Ste 200
Boynton Beach, FL 33435
Phone (561) 736-8200

Interoperability endpoints

  • Direct secure messaging: kerline.prospere-daceus.1@26289.direct.athenahealth.com

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 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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1124457361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "561-955-6663",
            "fax_number": "561-955-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD STE 200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357966",
            "telephone_number": "561-736-8200",
            "fax_number": "561-736-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSPERE-DACEUS",
        "first_name": "KERLINE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9250885",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9250885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.