Individual provider Active NPI

Ding Jin

  • Family Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1215737481
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11037708 Issued in FL
Practice address
3535 Haldin PL
Royal Palm Beach, FL 33411-8320
Phone
(217) 343-8696
NPI assigned
Mar 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 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 11037708 FL Primary

Addresses

Primary practice location

3535 Haldin PL
Royal Palm Beach, FL 33411-8320

Mailing address

3535 Haldin PL
Royal Palm Beach, FL 33411-8320
Phone (217) 343-8696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11924 Forest Hill Blvd
Suite 10a 138
Wellington, FL 33414-6298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11037708FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Health Physician Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Providers Health Alliance, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

11327 Okeechobee Blvd
Ste 23
Royal Palm Beach, FL 33411
Phone (561) 340-1615

11924 Forest Hill Blvd
Ste 10A138
Wellington, FL 33414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20004/brand/12/csg/1/fhir/r4
  • Direct secure messaging: ding.jin.1@20004.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.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1215737481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 HALDIN PL",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118320",
            "telephone_number": "217-343-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 HALDIN PL",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334118320",
            "telephone_number": "217-343-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIN",
        "first_name": "DING",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11037708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.