Individual provider Active NPI

Nerda Prophete

  • Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1336955095
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11036702 Issued in FL
Practice address
751 Sarazen Cir
West Palm Beach, FL 33413-1247
Phone
(561) 932-8056
NPI assigned
Dec 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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 11036702 FL Primary

Addresses

Primary practice location

751 Sarazen Cir
West Palm Beach, FL 33413-1247

Mailing address

751 Sarazen Cir
West Palm Beach, FL 33413-1247
Phone (561) 932-8056

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
I20250225001451 FL Practitioner - Nurse Practitioner 4183144843 Reassigns benefits to 3 organizations

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
Mana Health Partners PAGroup PAC ID 3971952813, 102 clinicians

Practice addresses (Care Compare)

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (239) 482-2848

1620 Helvenston St SE
Live Oak, FL 32064-3474
Phone (386) 362-7860

18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700

1851 Elkcam Blvd
Deltona, FL 32725-3922
Phone (386) 789-3769

1859 Van Buren St
Hollywood, FL 33020-5127
Phone (954) 920-9000

2020 W Lake Parker Dr
Lakeland, FL 33805-5005
Phone (863) 682-7580

2939 S Haverhill Rd
West Palm Beach, FL 33415-8118
Phone (732) 719-5039

375 NW 51 St
Boca Raton, FL 33431-4773
Phone (561) 997-8111

701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11036702FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intensive Care Experts Health Network LLC CurrentSince Jan 12, 2025 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Jan 12, 2025 Accepting new patients
Radial Health Southeast LLC CurrentSince May 3, 2025 Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

1859 Van Buren St
Hollywood, FL 33020
Phone (954) 920-0900

10330 Nuvista Ave
Wellington, FL 33414
Phone (561) 598-5419

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1336955095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 SARAZEN CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334131247",
            "telephone_number": "561-932-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 SARAZEN CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334131247",
            "telephone_number": "561-932-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROPHETE",
        "first_name": "NERDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11036702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.