Individual provider Active NPI

Lisa Marie Clinkscales, FNP

  • Family Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1447735030
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2511252 Issued in FL
Practice address
1950 W Hillsboro Blvd Ste 101
Deerfield Beach, FL 33442-1423
Phone
(954) 408-8962
NPI assigned
Sep 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN2511252 FL Primary

Addresses

Primary practice location

1950 W Hillsboro Blvd Ste 101
Deerfield Beach, FL 33442-1423

Mailing address

PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (954) 363-9582

Other identifiers 1

IdentifierTypeStateIssuer
APRN2511252OtherFLFAMILY NURSE PRACTITIONER

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
I20210825000551 FL Practitioner - Nurse Practitioner 6406251776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians
Xpress Urgent Care LLCGroup PAC ID 0042454944, 31 clinicians

Practice addresses (Care Compare)

10520 Forest Hill Blvd
Wellington, FL 33414-3179
Phone (561) 204-9355

1950 W Hillsboro Blvd
Suite 101
Deerfield Beach, FL 33442-1445
Phone (954) 408-8962

20665 Lyons Rd
Boca Raton, FL 33434-3911
Phone (561) 883-6677

6264 W Sample Rd
Coral Springs, FL 33067-3273

8950 N Kendall Dr
Miami, FL 33176-2144
Phone (786) 596-7200

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc Single Specialty CurrentSince Nov 7, 2022 Accepting new patients
Swamp City Transportation LLC Current Accepting new patients
Medical Consultants of Florida, LLC Single Specialty Current Accepting new patients
Xpress Urgent Care, LLC. CurrentSince Aug 1, 2021 Accepting new patients
Xpress Urgent Care, LLC. Single Specialty CurrentSince May 12, 2021 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Nov 7, 2022 Accepting new patients

Locations

1485 Gateway Blvd
Boynton Beach, FL 33426
Phone (561) 231-6999

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

1950 W Hillsboro Blvd
Ste 101
Deerfield Beach, FL 33442
Phone (954) 408-8962

8950 SW 88th St
Miami, FL 33176
Phone (305) 271-8950

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

672 SW Prima Vista Blvd
#10
Port St Lucie, FL 34983
Phone (772) 905-2555

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1447735030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W HILLSBORO BLVD STE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421423",
            "telephone_number": "954-408-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINKSCALES",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2511252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "APRN2511252",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.