Individual provider Active NPI

Kellie Maria Poe, ARNP

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1366812885
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9316017 Issued in FL
Practice address
520 S Federal Hwy
Boca Raton, FL 33432
Phone
(866) 389-2727
NPI assigned
Sep 26, 2015
Last updated
May 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9316017 FL
Family Nurse Practitioner 363LF0000X 9316017 FL Primary

Addresses

Primary practice location

520 S Federal Hwy
Boca Raton, FL 33432

Mailing address

520 S Federal Hwy
Boca Raton, FL 33432-5020
Phone (866) 389-2727

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
I20181113001958 FL Practitioner - Nurse Practitioner 9234483173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

1228 S Pine Island Rd
Suite 110
Plantation, FL 33324-4580
Phone (954) 837-1410

12472 W Sunrise Blvd
Sunrise, FL 33323-2987
Phone (954) 837-1245

15885 Pines Blvd
Pembroke Pines, FL 33027-1220
Phone (954) 837-1300

1652 Town Ctr Cir
Weston, FL 33326-3666
Phone (954) 837-1150

4741 S University Dr
Davie, FL 33328-3819
Phone (954) 837-1050

6264 W Sample Rd
Suite 100
Coral Springs, FL 33067-3273
Phone (954) 837-1020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9316017FLMDFamily Nurse Practitioner
ARNP9316017FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince May 27, 2018 Accepting new patients
Criticare Clinics Inc CurrentSince Nov 6, 2021 Accepting new patients
Minuteclinic Family Past Accepting new patients

Locations

520 S Federal Hwy
Boca Raton, FL 33432
Phone (561) 362-3240

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 495-3113

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

Organizations & group practices 3

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": "1443225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1366812885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325020",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33432",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "KELLIE",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-26",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9316017",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9316017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.