Individual provider Active NPI

Michael Carraturo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1548076318
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024096434 Issued in FL
Practice address
6353 Bengal Cir
Boynton Beach, FL 33437-3209
Phone
(347) 739-4037
NPI assigned
Dec 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024096434 FL Primary

Addresses

Primary practice location

6353 Bengal Cir
Boynton Beach, FL 33437-3209

Mailing address

6353 Bengal Cir
Boynton Beach, FL 33437-3209
Phone (347) 739-4037

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
I20250626000722 FL Practitioner - Nurse Practitioner 5890207674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Stedfast Medical Services LLCGroup PAC ID 4981000999, 46 clinicians

Practice addresses (Care Compare)

10301 Hagen Ranch Rd
Suite D720
Boynton Beach, FL 33437-3777
Phone (561) 402-3971

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024096434FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stedfast Medical Services LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

10301 Hagen Ranch Rd
Ste D720
Boynton Beach, FL 33437
Phone (561) 336-1890

3365 Burns Rd
Ste 203
Palm Beach Gardens, FL 33410
Phone (561) 412-9373

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1548076318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6353 BENGAL CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373209",
            "telephone_number": "347-739-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6353 BENGAL CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373209",
            "telephone_number": "347-739-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRATURO",
        "first_name": "MICHAEL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "2024096434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.