Individual provider Active NPI

Lorie Ellen Pistone

  • Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1356890834
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9386019 Issued in FL
Practice address
1880 N Congress Ave
Ste 303a
Boynton Beach, FL 33426-8671
Phone
(561) 734-8111
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9386019 FL Primary
Gerontology Nurse Practitioner 363LG0600X ARNP9386019 FL

Addresses

Primary practice location

1880 N Congress Ave
Ste 303a
Boynton Beach, FL 33426-8671

Mailing address

940 Sweetwater LN
Apt. 516
Boca Raton, FL 33431-7132
Phone (561) 465-3431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, DC, NJ, AZ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20161115000518 FL Practitioner - Nurse Practitioner 0446539415
I20230508000218 MD Practitioner - Nurse Practitioner 0446539415 Reassigns benefits to 1 organization
I20230606000121 DC Practitioner - Nurse Practitioner 0446539415 Reassigns benefits to 1 organization
I20230712003688 NJ Practitioner - Nurse Practitioner 0446539415
I20231009002664 AZ Practitioner - Nurse Practitioner 0446539415

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida Atlantic University, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Medical Specialists IncGroup PAC ID 2163820507, 10 clinicians

Practice addresses (Care Compare)

133 Rollins Ave
Suite 3
Rockville, MD 20852-4040
Phone (800) 557-8950

145 W Ostend St
Suite 600
Baltimore, MD 21230-3774
Phone (800) 557-8950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
311237NYMDInfectious Disease Physician
ARNP9386019FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical Specialists Inc CurrentSince Apr 1, 2023 Accepting new patients
Arizona Medical Specialists PC CurrentSince Aug 26, 2023 Accepting new patients

Locations

145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509

133 Rollins Ave
Ste 3
Rockville, MD 20852
Phone (202) 935-1033

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1356890834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 SWEETWATER LN",
            "address_2": "APT. 516",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317132",
            "telephone_number": "561-465-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N CONGRESS AVE",
            "address_2": "STE 303A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268671",
            "telephone_number": "561-734-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTONE",
        "first_name": "LORIE",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9386019",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9386019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.