Individual provider Active NPI

Planise Jean Louis

  • Family Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1295346773
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008477 Issued in FL
Practice address
201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone
(954) 515-2724
NPI assigned
Aug 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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 APRN11008477 FL Primary

Addresses

Primary practice location

201 E Sample Rd
Deerfield Beach, FL 33064-3502

Mailing address

201 E Sample Rd
Deerfield Beach, FL 33064-3502

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL message

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
I20220823004117 FL Practitioner - Nurse Practitioner 4981087913 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Florida PLLCGroup PAC ID 6204166762, 31 clinicians
Radial Health Southeast LLCGroup PAC ID 7113357476, 24 clinicians

Practice addresses (Care Compare)

1711 6TH Ave S
Lake Worth, FL 33460-4333
Phone (561) 585-2997

17781 Thelma Ave
Jupiter, FL 33458-7942
Phone (847) 289-5727

Hospital & facility affiliations

  • Jupiter Rehabilitation and Healthcare Center Nursing home, Jupiter, FL, CCN 105555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008477FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Florida PLLC CurrentSince Nov 28, 2025 Accepting new patients
WT Health of Florida LLC CurrentSince Feb 10, 2025 Accepting new patients
Wound Technology Network Inc CurrentSince Aug 22, 2022 Accepting new patients
Radial Health Southeast LLC CurrentSince Jan 13, 2025 Accepting new patients

Locations

7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

611 S A St
Lake Worth Beach, FL 33460
Phone (561) 585-2997

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1295346773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E SAMPLE RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330643502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E SAMPLE RD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "330643502",
            "telephone_number": "954-515-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN LOUIS",
        "first_name": "PLANISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "message",
            "affiliation": "N",
            "address_1": "201 E Sample Rd",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330643502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.