Individual provider Active NPI

Richard Neil McCoy

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1578035895
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029371 Issued in FL
Practice address
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7995
Phone
(561) 737-7733
NPI assigned
Dec 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704292697 MI
Family Nurse Practitioner 363LF0000X APRN11029371 FL Primary

Addresses

Primary practice location

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7995

Mailing address

677 100TH St SE
Byron Center, MI 49315-8770
Phone (814) 464-6166

Other identifiers 2

IdentifierTypeStateIssuer
4704292697OtherMIRN AND NP SPECIALTY CERTIFICATION LICENSE
APRN11029371OtherFLFLORIDA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190213002018 MI Practitioner - Nurse Practitioner 7810235090 Reassigns benefits to 2 organizations
I20240618003119 FL Practitioner - Nurse Practitioner 7810235090 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11029371FLMDFamily Nurse Practitioner
4704292697MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Emergency Services of Florida PA Current Accepting new patients
Paragon Contracting Services LLC CurrentSince Nov 7, 2024 Accepting new patients
Sparrow Clinton Hospital CurrentSince Feb 15, 2019 Accepting new patients
Sterling Emergency Services of Florida PA CurrentSince May 20, 2024 Accepting new patients
Metropolitan Hospital CurrentSince Apr 1, 2021 Accepting new patients
Sterling Emergency Services of Florida PA CurrentSince May 20, 2024 Accepting new patients
Sparrow Clinton Hospital CurrentSince Feb 15, 2019 Accepting new patients

Locations

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

8175 Reliable Pkwy
Chicago, IL 60686

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

2122 Health Dr SW
Wyoming, MI 49519
Phone (616) 252-5950

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Organizations & group practices 7

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": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1578035895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 100TH ST SE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158770",
            "telephone_number": "814-464-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357995",
            "telephone_number": "561-737-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "RICHARD",
        "middle_name": "NEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-27",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704292697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN AND NP SPECIALTY CERTIFICATION LICENSE",
            "identifier": "4704292697",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "APRN11029371",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.