Individual provider Active NPI

Pauline A Ferguson Rhodin, ARNP

  • Gerontology Nurse Practitioner
  • Margate, FL
National Provider Identifier
1366220642
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11028696 Issued in FL
Practice address
7574 Pinewalk Dr S
Margate, FL 33063-8121
Phone
(954) 464-4449
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X RN93544602 FL
Gerontology Nurse Practitioner 363LG0600X APRN11028696 FL Primary

Addresses

Primary practice location

7574 Pinewalk Dr S
Margate, FL 33063-8121

Mailing address

7574 Pinewalk Dr S
Margate, FL 33063-8121
Phone (954) 464-4449

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
I20240829004723 FL Practitioner - Nurse Practitioner 4981143245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Care Concierge Solutions LLCGroup PAC ID 2365892734, 4 clinicians

Practice addresses (Care Compare)

7000 W Palmetto Park Rd
Suite 210
Boca Raton, FL 33433-3430
Phone (561) 221-2038

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN93544602FLMDWound Care Registered Nurse

Organizations & group practices 1

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": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1366220642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7574 PINEWALK DR S",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330638121",
            "telephone_number": "954-464-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7574 PINEWALK DR S",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330638121",
            "telephone_number": "954-464-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON RHODIN",
        "first_name": "PAULINE",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "RN93544602",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11028696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.