Individual provider Active NPI

Vanja Jelusic Steentjes, PA-C

  • Medical Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1144510116
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9103574 Issued in FL
Practice address
660 Glades Rd Ste 420
Boca Raton, FL 33431-6469
Phone
(561) 368-7006
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103574 FL Primary

Addresses

Primary practice location

660 Glades Rd Ste 420
Boca Raton, FL 33431-6469

Mailing address

550 Bayshore Dr Apt 309
Fort Lauderdale, FL 33304-3946
Phone (616) 780-6410

Other practice location 1

817 S University Dr Ste 106
Plantation, FL 33324-3345
Phone (954) 723-0334

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
I20190207002237 FL Practitioner - Physician Assistant 0648518159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9103574FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Medical Patient Care Past Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1144510116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BAYSHORE DR APT 309",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043946",
            "telephone_number": "616-780-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GLADES RD STE 420",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316469",
            "telephone_number": "561-368-7006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 S University Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333243345",
            "country_code": "US",
            "telephone_number": "954-723-0334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEENTJES",
        "first_name": "VANJA",
        "middle_name": "JELUSIC",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.