Individual provider Active NPI

Elisa Renta

  • Physician Assistant
  • Wellington, FL
National Provider Identifier
1578425914
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8440 Lake Worth Rd Ste 200
Wellington, FL 33467
Phone
(561) 740-0545
NPI assigned
Nov 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

8440 Lake Worth Rd Ste 200
Wellington, FL 33467

Mailing address

7593 W Boynton Beach Blvd Ste 220
Boynton Beach, FL 33437-6162
Phone (561) 649-7000

Other practice location 1

11300 NE 2nd Ave
Miami Shores, FL 33161-6628
Phone (561) 322-8605

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
I20260311001616 FL Practitioner - Physician Assistant 7810470515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Pheasant Valley Dr
Coram, NY 11727-2320

7593 W Boynton Beach Blvd
Suite 220
Boynton Beach, FL 33437-6162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of the Palm Beaches Inc CurrentSince Jan 28, 2026 Accepting new patients
Medical Specialists of the Palm Beaches Inc CurrentSince Jan 28, 2026 Accepting new patients

Locations

7593 W Boynton Beach Blvd
Ste 220
Boynton Beach, FL 33437
Phone (561) 649-7000

8440 Lake Worth Rd
Ste 200
Wellington, FL 33467
Phone (561) 740-0545

Organizations & group practices 2

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": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1578425914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7593 W BOYNTON BEACH BLVD STE 220",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376162",
            "telephone_number": "561-649-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 LAKE WORTH RD STE 200",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "561-740-0545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11300 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami Shores",
            "state": "FL",
            "postal_code": "331616628",
            "country_code": "US",
            "telephone_number": "561-322-8605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTA",
        "first_name": "ELISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.