Individual provider Active NPI

Kareen M Jasmin Wilkins, APRN

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1467775387
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9221561 Issued in FL
Practice address
801 Meadows Rd
Suite 114
Boca Raton, FL 33486-2346
Phone
(561) 750-3520
NPI assigned
Mar 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9221561 FL
Nurse Practitioner 363L00000X APRN9221561 FL Primary

Addresses

Primary practice location

801 Meadows Rd
Suite 114
Boca Raton, FL 33486-2346

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (561) 848-5200

Other practice location 1

5300 East Ave
West Palm Beach, FL 33407-2387
Phone (561) 848-5200

Other practice location 2

1309 N Flagler Dr
West Palm Beach, FL 33401-3406
Phone (561) 366-4100

Other identifiers 1

IdentifierTypeStateIssuer
110454900MedicaidFL

Other names 1

  • Kareen M Jasmin Former name

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
I20140121001608 FL Practitioner - Nurse Practitioner 8426286410 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Palliative Care Services, Inc. CurrentSince Mar 31, 2021 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Feb 9, 2022 Accepting new patients

Locations

3840 Broadway
Fort Myers, FL 33901
Phone (239) 275-6400

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

1309 N Flagler Dr
Fl Cancer
West Palm Beach, FL 33401

5300 East Ave
West Palm Beach, FL 33407
Phone (561) 227-5177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1467775387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "561-848-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD",
            "address_2": "SUITE 114",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-750-3520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 East Ave",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072387",
            "country_code": "US",
            "telephone_number": "561-848-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1309 N Flagler Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013406",
            "country_code": "US",
            "telephone_number": "561-366-4100",
            "fax_number": "561-366-4189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASMIN WILKINS",
        "first_name": "KAREEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9221561",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9221561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110454900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREEN",
            "last_name": "JASMIN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.