Individual provider Active NPI

Jane Bistline, MD

  • Interventional Pain Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1447355789
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME67442 Issued in FL
Practice address
2047 Palm Beach Lakes Blvd
Suite 300
West Palm Beach, FL 33409-6500
Phone
(561) 681-9808
Fax
(561) 698-9499
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME67442 FL
Interventional Pain Medicine Physician 208VP0014X ME67442 FL Primary

Addresses

Primary practice location

2047 Palm Beach Lakes Blvd
Suite 300
West Palm Beach, FL 33409-6500

Mailing address

2047 Palm Beach Lakes Blvd
Suite 300
West Palm Beach, FL 33409-6500
Phone (561) 681-9808

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913001250 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8123095775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2031 Palm Beach Lakes Blvd
Suite 100
West Palm Beach, FL 33409-6525
Phone (561) 681-9808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jane E Bistline MD PA Specialist Current Accepting new patients
Jane Bistline MD Interventional Pain, LLC Interventional Pain Medicine CurrentSince Apr 18, 2005 Accepting new patients
Anesco North Broward LLC Past Accepting new patients

Locations

2047 Palm Beach Lakes Blvd
Ste 300
West Palm Beach, FL 33409
Phone (561) 242-9574

2031 Palm Beach Lakes Blvd
Ste 100
West Palm Beach, FL 33409
Phone (561) 681-9808

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1447355789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096500",
            "telephone_number": "561-681-9808",
            "fax_number": "561-698-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096500",
            "telephone_number": "561-681-9808",
            "fax_number": "561-698-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISTLINE",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME67442",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME67442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.