Individual provider Active NPI

Olivia Erin Stala, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1457071615
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11020642 Issued in FL
Practice address
701 NW 13TH St
Boca Raton, FL 33486-2305
Phone
(561) 955-5966
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 11020642 FL Primary

Addresses

Primary practice location

701 NW 13TH St
Boca Raton, FL 33486-2305

Mailing address

90 NE 48TH CT
Fort Lauderdale, FL 33334-1512
Phone (507) 272-7265

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
I20230104003158 FL Practitioner - Nurse Practitioner 1456721661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida Atlantic University, College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BRRH Oncology, LLCGroup PAC ID 4082612999, 29 clinicians

Practice addresses (Care Compare)

701 NW 13TH St
FL 2
Boca Raton, FL 33486-2305
Phone (561) 955-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.84 of 100Reported as group
Quality
58.92
Improvement activities
40
Cost
71.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11020642FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BRRH Oncology LLC CurrentSince Dec 1, 2022 Accepting new patients
The Center for Hematology Oncology PastSince Dec 1, 2022 Accepting new patients

Locations

701 NW 13th St
Fl 2
Boca Raton, FL 33486
Phone (561) 955-6400

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

6282 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-8307

Organizations & group practices 2

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1457071615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 NE 48TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333341512",
            "telephone_number": "507-272-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862305",
            "telephone_number": "561-955-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALA",
        "first_name": "OLIVIA",
        "middle_name": "ERIN",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11020642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.