Individual provider Active NPI

Anne Clarisse Macaisa

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1205508546
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11015311 Issued in FL
Practice address
4937 Victoria Cir
West Palm Beach, FL 33409-7849
Phone
(786) 351-4827
NPI assigned
Oct 5, 2021
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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 APRN11015311 FL Primary

Addresses

Primary practice location

4937 Victoria Cir
West Palm Beach, FL 33409-7849

Mailing address

4937 Victoria Cir
West Palm Beach, FL 33409-7849

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
I20230818001538 FL Practitioner - Nurse Practitioner 6709248917 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11015311FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nursing Home Physicians PA Family CurrentSince Aug 5, 2023 Accepting new patients
Nursing Home Consultants LLC PastSince Aug 5, 2023 Accepting new patients

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, 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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1205508546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4937 VICTORIA CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4937 VICTORIA CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097849",
            "telephone_number": "786-351-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAISA",
        "first_name": "ANNE CLARISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.