Individual provider Active NPI

Cristina Elena Roberts, FNP

  • Family Nurse Practitioner
  • Oakland Park, FL
National Provider Identifier
1174259709
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020844 Issued in FL
Practice address
2781 S Oakland Forest Dr Apt 303
Oakland Park, FL 33309-7547
Phone
(770) 374-7622
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 11020844 FL Primary

Addresses

Primary practice location

2781 S Oakland Forest Dr Apt 303
Oakland Park, FL 33309-7547

Mailing address

2781 S Oakland Forest Dr Apt 303
Oakland Park, FL 33309-7547
Phone (770) 374-7622

Other practice location 1

5361 NW 22nd Ave
Miami, FL 33142-8035
Phone (305) 637-6400

Other names 1

  • Cristina Elena Mitchell Former name

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
I20221007002347 FL Practitioner - Nurse Practitioner 5597141945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

3200 SW 34TH Ave
Suite 701
Ocala, FL 34474-8443
Phone (877) 779-2429

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020844FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Family CurrentSince Apr 26, 2023 Accepting new patients
Jessie Trice Community Health System Inc Current Accepting new patients
Jessie Trice Community Health System Inc CurrentSince Mar 1, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Apr 26, 2023 Accepting new patients
Balanced Wellbeing LLC CurrentSince Apr 17, 2023 Accepting new patients
Jessie Trice Community Health System, Inc Current Accepting new patients
Jessie Trice Community Health System, Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

5607 NW 27th Ave
Ste 1
Miami, FL 33142
Phone (305) 805-1700

5361 NW 22nd Ave
Miami, FL 33142
Phone (305) 835-1586

20612 NW 27th Ave
Miami Gardens, FL 33056
Phone (305) 835-1615

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 7

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": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1174259709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 S OAKLAND FOREST DR APT 303",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333097547",
            "telephone_number": "770-374-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 S OAKLAND FOREST DR APT 303",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333097547",
            "telephone_number": "770-374-7622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5361 NW 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331428035",
            "country_code": "US",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CRISTINA",
        "middle_name": "ELENA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "MITCHELL",
            "middle_name": "ELENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.