Individual provider Active NPI

Maria Pontier-Elias

  • Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1326454364
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9166131 Issued in FL
Practice address
2300 S Congress Ave
Suite 100
Boynton Beach, FL 33426-7400
Phone
(561) 735-7531
Fax
(561) 742-8250
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9166131 FL Primary

Addresses

Primary practice location

2300 S Congress Ave
Suite 100
Boynton Beach, FL 33426-7400

Mailing address

2300 S Congress Ave
Suite 100
Boynton Beach, FL 33426-7400
Phone (561) 735-7531

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
I20170816004406 FL Practitioner - Nurse Practitioner 5991077513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Id Consultants IncGroup PAC ID 5991602963, 5 clinicians

Practice addresses (Care Compare)

2300 S Congress Ave
Suite 100
Boynton Beach, FL 33426-7400
Phone (561) 735-4829

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9166131FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Id Consultants Inc CurrentSince Nov 14, 2016 Accepting new patients
Suzanne Y Succop MD PA PastSince Nov 14, 2016 Accepting new patients

Locations

2300 S Congress Ave
Ste 100
Boynton Beach, FL 33426
Phone (561) 735-4829

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1326454364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S CONGRESS AVE",
            "address_2": "SUITE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267400",
            "telephone_number": "561-735-7531",
            "fax_number": "561-742-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S CONGRESS AVE",
            "address_2": "SUITE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334267400",
            "telephone_number": "561-735-7531",
            "fax_number": "561-742-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONTIER-ELIAS",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9166131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.