Individual provider Active NPI

Christine Ceravolo

  • Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1497517346
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11030444 Issued in FL
Practice address
661 University Blvd Ste 201
Jupiter, FL 33458-2795
Phone
(561) 882-6060
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 APRN11030444 FL Primary

Addresses

Primary practice location

661 University Blvd Ste 201
Jupiter, FL 33458-2795

Mailing address

2586 Livingston LN
West Palm Beach, FL 33411-5743
Phone (561) 346-3549

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
I20240826001657 FL Practitioner - Nurse Practitioner 3779022538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiovascular Consultants LLCGroup PAC ID 3274875950, 16 clinicians

Practice addresses (Care Compare)

5305 Greenwood Ave
Suite 204
West Palm Beach, FL 33407-2449
Phone 5618826060227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11030444FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiovascular Consultants LLC CurrentSince Aug 2, 2024 Accepting new patients

Locations

661 University Blvd
Ste 201
Jupiter, FL 33458
Phone (561) 363-4400

5305 Greenwood Ave
Ste 204
West Palm Beach, FL 33407
Phone (561) 832-8886

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18542/brand/1/csg/1/fhir/r4
  • Direct secure messaging: christine.ceravolo.1@18542.direct.athenahealth.com

Organizations & group practices 1

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1497517346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 LIVINGSTON LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334115743",
            "telephone_number": "561-346-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 UNIVERSITY BLVD STE 201",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582795",
            "telephone_number": "561-882-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERAVOLO",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11030444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.