Active NPI
Agatha E Adjei
- Family Nurse Practitioner
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F11200145
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06141962 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11200145 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Community Health Centers Inc | Current | Accepting new patients | |
| Florida Community Health Centers, Inc. | Current | Accepting new patients | |
| Florida Community Health Centers Inc | Current | Accepting new patients | |
| Florida Community Health Centers Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Pahokee, FL
- NPI 1851518211
-
- Family Medicine Physician
- Clewiston, FL
- NPI 1124078571
-
- Federally Qualified Health Center (FQHC)
- Port St Lucie, FL
- NPI 1215986872
-
- Family Medicine Physician
- Okeechobee, FL
- NPI 1952351306
-
- Federally Qualified Health Center (FQHC)
- Fort Pierce, FL
- NPI 1205405271
-
- Federally Qualified Health Center (FQHC)
- Fort Pierce, FL
- NPI 1104250786
-
- Federally Qualified Health Center (FQHC)
- West Palm Beach, FL
- NPI 1144288432
-
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.