Individual provider Active NPI

Bianca Krystal Bachoo

  • Family Nurse Practitioner
  • Pompano Beach, FL
National Provider Identifier
1598409609
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016762 Issued in FL
Practice address
351 S Cypress Rd Ste 301E
Pompano Beach, FL 33060-7166
Phone
(954) 593-4965
Fax
(850) 807-5303
NPI assigned
Apr 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11016762 FL
Family Nurse Practitioner 363LF0000X APRN11016762 FL Primary

Addresses

Primary practice location

351 S Cypress Rd Ste 301E
Pompano Beach, FL 33060-7166

Mailing address

351 S Cypress Rd Ste 301E
Pompano Beach, FL 33060-7166
Phone (954) 593-4965

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
I20240313001226 FL Order and Referring Only - Nurse Practitioner 5597120477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11016762FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prelude Mental Health & Wellness LLC. Family Past Accepting new patients

Organizations & group practices 1

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": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1598409609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S CYPRESS RD STE 301E",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607166",
            "telephone_number": "954-593-4965",
            "fax_number": "850-807-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S CYPRESS RD STE 301E",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330607166",
            "telephone_number": "954-593-4965",
            "fax_number": "850-807-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHOO",
        "first_name": "BIANCA",
        "middle_name": "KRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11016762",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

Verify at the official NPI Registry.