Individual provider Active NPI

Jennifer Marie Rzechula

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1174389027
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11030920 Issued in FL
Practice address
2563 SW 10TH St
Boynton Beach, FL 33426-7402
Phone
(561) 577-9191
NPI assigned
Feb 27, 2024
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11030920 FL Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 11030920 FL
General Practice Physician 208D00000X 11030920 FL

Addresses

Primary practice location

2563 SW 10TH St
Boynton Beach, FL 33426-7402

Mailing address

2563 SW 10TH St
Boynton Beach, FL 33426-7402
Phone (561) 577-9191

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
I20250225000914 FL Practitioner - Nurse Practitioner 3678093317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr GS Urgent Care LLCGroup PAC ID 5395904429, 21 clinicians

Practice addresses (Care Compare)

1425 S Congress Ave
Delray Beach, FL 33445-6384
Phone (561) 330-9363

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11030920FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr GS Urgent Care LLC CurrentSince Feb 18, 2025 Accepting new patients

Locations

1425 S Congress Ave
Delray Beach, FL 33445
Phone (561) 330-9363

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1174389027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 SW 10TH ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267402",
            "telephone_number": "561-577-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2563 SW 10TH ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267402",
            "telephone_number": "561-577-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RZECHULA",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "11030920",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "11030920",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "11030920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.