Individual provider Active NPI

Agatha E Adjei

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1568063451
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11200145 Issued in FL
Practice address
1590 SW Mullinax Ave
Port Saint Lucie, FL 34953-7060
Phone
(954) 651-4930
NPI assigned
Nov 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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 F11200145 FL Primary

Addresses

Primary practice location

1590 SW Mullinax Ave
Port Saint Lucie, FL 34953-7060

Mailing address

1590 SW Mullinax Ave
Port Saint Lucie, FL 34953-7060
Phone (954) 651-4930

Other practice location 1

325 North Dr Ste 3100
Dallas, TX 75207-4431
Phone (888) 731-8994

Other practice location 2

111 N Orange Ave
Orlando, FL 32801-2316
Phone (888) 731-8994

Other identifiers 1

IdentifierTypeStateIssuer
06141962MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address agathaadjei@att.net Direct
Direct Messaging Address agathaadjei@att.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922002907 FL Practitioner - Nurse Practitioner 3779980453 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F11200145FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers, Inc. CurrentSince Aug 30, 2021 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc CurrentSince Aug 30, 2021 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers, Inc. Past Accepting new patients
Integrative Womens Care PC Past Accepting new patients
Florida Community Health Centers, Inc. Past Accepting new patients

Locations

315 S W C Owen Ave
Clewiston, FL 33440
Phone (561) 996-9573

1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140

3090 Avenue G
Ste A
Fort Pierce, FL 34947

1100 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 763-1951

3235 SW Port St Lucie Blvd
Ste 105
Port St Lucie, FL 34953
Phone (772) 408-5063

5827 Corporate Way
West Palm Beach, FL 33407
Phone (561) 844-9443

Interoperability endpoints

  • Direct secure messaging: agatha.adjei.1@14865.direct.athenahealth.com

Organizations & group practices 8

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": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1568063451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 SW MULLINAX AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349537060",
            "telephone_number": "954-651-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 SW MULLINAX AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349537060",
            "telephone_number": "954-651-4930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 North Dr Ste 3100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752074431",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 N Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012316",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADJEI",
        "first_name": "AGATHA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11200145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06141962",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agathaadjei@att.net",
            "affiliation": "N",
            "endpointDescription": "email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "1590 SW Mullinax Ave",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349537060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agathaadjei@att.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NONE",
            "address_1": "1590 SW Mullinax Ave",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349537060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.