Individual provider Active NPI

Elizabeth Petrell, APRN

  • Family Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1477444313
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11040774 Issued in FL
Practice address
2601 S Kanner Hwy
Stuart, FL 34994-4622
Phone
(772) 219-2777
Fax
(772) 219-0017
NPI assigned
Jul 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11040774 FL Primary

Addresses

Primary practice location

2601 S Kanner Hwy
Stuart, FL 34994-4622

Mailing address

900 Village Square Xing Ste 290
Palm Beach Gardens, FL 33410-4552
Phone (239) 313-2517

Other practice location 1

1096 W Indiantown Rd Ste 100
Jupiter, FL 33458-6855
Phone (561) 222-2220

Other practice location 2

121 S State Road 7
Wellington, FL 33414-4338
Phone (561) 296-9666

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
I20250717004085 FL Practitioner - Nurse Practitioner 2860908803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians
Midway Primary Care LLCGroup PAC ID 8820386766, 5 clinicians

Practice addresses (Care Compare)

2601 S Kanner Hwy
Stuart, FL 34994-4622
Phone (772) 217-6829

3255 S Federal Hwy
Fort Pierce, FL 34982-6381
Phone (772) 742-9270

3255 S US Hwy 1
Fort Pierce, FL 34982-6381

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11040774FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Aug 11, 2025 Accepting new patients
Midway Primary Care LLC CurrentSince Oct 27, 2025 Accepting new patients
Aqua Dermatology of Florida, PA CurrentSince Aug 11, 2025 Accepting new patients

Locations

3255 S US Highway 1
Fort Pierce, FL 34982
Phone (772) 464-9746

1096 W Indiantown Rd
Ste 100
Jupiter, FL 33458
Phone (561) 222-2200

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

2601 S Kanner Hwy
Stuart, FL 34994
Phone (772) 217-6829

121 S State Road 7
Wellington, FL 33414
Phone (561) 296-9666

900 Village Square Xing
Ste 290
West Palm Beach, FL 33410
Phone (239) 313-2517

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1477444313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 290",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104552",
            "telephone_number": "239-313-2517",
            "fax_number": "239-313-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944622",
            "telephone_number": "772-219-2777",
            "fax_number": "772-219-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1096 W Indiantown Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334586855",
            "country_code": "US",
            "telephone_number": "561-222-2220",
            "fax_number": "561-222-2201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 S State Road 7",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334144338",
            "country_code": "US",
            "telephone_number": "561-296-9666",
            "fax_number": "561-296-9667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRELL",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11040774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.