Individual provider Active NPI

Kristal Panchal, APRN

  • Acute Care Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1609245240
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
9479395 Issued in FL
Practice address
11917 Southern Blvd Ste 400
Royal Palm Beach, FL 33411-7678
Phone
(561) 210-9495
Fax
(561) 210-9475
NPI assigned
Sep 24, 2015
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 9479395 FL Primary

Addresses

Primary practice location

11917 Southern Blvd Ste 400
Royal Palm Beach, FL 33411-7678

Mailing address

11917 Southern Blvd Ste 400
Royal Palm Beach, FL 33411-7678
Phone (561) 210-9495

Other names 1

  • Kristal Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9479395FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac and Vascular Center LLC CurrentSince Mar 24, 2025 Accepting new patients
City Clinics LLC PastSince Dec 14, 2025 Accepting new patients

Locations

11917 Southern Blvd
Ste 400
Royal Palm Beach, FL 33411
Phone (561) 210-9495

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, 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": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1609245240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11917 SOUTHERN BLVD STE 400",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117678",
            "telephone_number": "561-210-9495",
            "fax_number": "561-210-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11917 SOUTHERN BLVD STE 400",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117678",
            "telephone_number": "561-210-9495",
            "fax_number": "561-210-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "KRISTAL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "9479395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTAL",
            "last_name": "PATEL",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.