Individual provider Active NPI

Kendall Fedorko

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1386261741
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11007840 Issued in FL
Practice address
7601 N Federal Hwy Ste 100a
Boca Raton, FL 33487-1659
Phone
(561) 823-1030
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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 APRN11007840 FL
Nurse Practitioner 363L00000X 11007840 FL Primary

Addresses

Primary practice location

7601 N Federal Hwy Ste 100a
Boca Raton, FL 33487-1659

Mailing address

7601 N Federal Hwy Ste 100a
Boca Raton, FL 33487-1659
Phone (561) 823-1030

Other practice location 1

1701 W Community Dr
Jupiter, FL 33458-8218
Phone (440) 728-1020

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
I20260212002709 FL Practitioner - Nurse Practitioner 7618457326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flpmi, LLCGroup PAC ID 5991042640, 10 clinicians

Practice addresses (Care Compare)

4675 Linton Blvd
Suite 200
Delray Beach, FL 33445-6615
Phone (561) 331-5050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11007840FLMDNurse Practitioner
APRN11007840FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flpmi, LLC CurrentSince Mar 3, 2026 Accepting new patients

Locations

2623 S Seacrest Blvd
Ste 108
Boynton Beach, FL 33435
Phone (561) 331-5050

4675 Linton Blvd
Ste 200
Delray Beach, FL 33445
Phone (561) 331-5050

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1386261741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 N FEDERAL HWY STE 100A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871659",
            "telephone_number": "561-823-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 N FEDERAL HWY STE 100A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871659",
            "telephone_number": "561-823-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W Community Dr",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334588218",
            "country_code": "US",
            "telephone_number": "440-728-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDORKO",
        "first_name": "KENDALL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007840",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11007840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.