Individual provider Active NPI

Manoucheka Luzincourt, FNP

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1568211985
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
672541 Issued in FL
Practice address
2021 SW 15TH Ave Apt G201
Boynton Beach, FL 33426-6396
Phone
(561) 293-1154
NPI assigned
May 17, 2024
Last updated
May 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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 672541 FL Primary

Addresses

Primary practice location

2021 SW 15TH Ave Apt G201
Boynton Beach, FL 33426-6396

Mailing address

2021 SW 15TH Ave Apt G201
Boynton Beach, FL 33426-6396
Phone (561) 293-1154

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
I20240906001452 FL Practitioner - Nurse Practitioner 6204376148 Reassigns benefits to 4 organizations

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
Accountable Care Post Acute Care Services LLCGroup PAC ID 1456628601, 8 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 798-8500

2180 Hypoluxo Rd
Lantana, FL 33462-3922
Phone (561) 766-1300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
672541FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health Southeast LLC CurrentSince Aug 27, 2024 Accepting new patients
Accountable Care Post Acute Care Services LLC CurrentSince Jan 9, 2025 Accepting new patients
Accountable Care Hospitalist Group CurrentSince Oct 13, 2024 Accepting new patients
Hospitalist Group of the Palm Beaches PA CurrentSince Aug 1, 2024 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations

2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000

611 S A St
Lake Worth Beach, FL 33460
Phone (561) 585-2997

2180 Hypoluxo Rd
Lantana, FL 33462
Phone (561) 582-3000

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1568211985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 SW 15TH AVE APT G201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266396",
            "telephone_number": "561-293-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SW 15TH AVE APT G201",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266396",
            "telephone_number": "561-293-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZINCOURT",
        "first_name": "MANOUCHEKA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "672541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.