Individual provider Active NPI

Piilani Crystal Riley, FNP

  • Nurse Practitioner
  • Mangonia Park, FL
National Provider Identifier
1427788637
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11018585 Issued in FL
Practice address
927 45TH St Ste 204
Mangonia Park, FL 33407-2450
Phone
(561) 935-1188
Fax
(561) 291-6670
NPI assigned
Jun 13, 2022
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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 APRN11018585 FL Primary

Addresses

Primary practice location

927 45TH St Ste 204
Mangonia Park, FL 33407-2450

Mailing address

PO Box 20802
Belfast, ME 04915-4105
Phone (888) 402-7256

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
I20221012003948 FL Practitioner - Nurse Practitioner 0446626659 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

927 45TH St
Suite 204
Mangonia Park, FL 33407-2450
Phone (954) 567-1322

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11018585FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Orthopedics of the Palm Beaches P.a. CurrentSince Jun 2, 2024 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Apr 14, 2025 Accepting new patients
Tenet Florida Physician Services II, LLC Nurse Practitioner CurrentSince Apr 14, 2025 Accepting new patients

Locations

9960 Central Park Blvd N
Ste 100
Boca Raton, FL 33428
Phone (561) 226-4180

6056 Boynton Beach Blvd
Ste 215
Boynton Beach, FL 33437
Phone (561) 733-5888

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

927 45th St
Ste 204
Mangonia Park, FL 33407
Phone (561) 627-3130

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

900 Village Square Xing
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 346-7698

Interoperability endpoints

  • Direct secure messaging: piilani.riley.1@13023.direct.athenahealth.com

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, 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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1427788637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20802",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154105",
            "telephone_number": "888-402-7256",
            "fax_number": "888-902-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 45TH ST STE 204",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072450",
            "telephone_number": "561-935-1188",
            "fax_number": "561-291-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "PIILANI",
        "middle_name": "CRYSTAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11018585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mangonia Park, FL

Sources for this page

Verify at the official NPI Registry.