Individual provider Active NPI

Ksenia Nikolayevna Sokol, ARNP

  • Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1619496239
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9339420 Issued in FL
Practice address
3370 Burns Rd Ste 103
Palm Beach Gardens, FL 33410-4327
Phone
(561) 425-9881
Fax
(561) 784-6530
NPI assigned
Sep 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9339420 FL Primary

Addresses

Primary practice location

3370 Burns Rd Ste 103
Palm Beach Gardens, FL 33410-4327

Mailing address

3370 Burns Rd Ste 103
Palm Beach Gardens, FL 33410-4327
Phone (561) 425-9881

Other practice location 1

5130 Linton Blvd Ste A-1
Delray Beach, FL 33484-6596
Phone (561) 496-7900

Other practice location 2

11195 S Jog Rd Ste 6
Boynton Beach, FL 33437-1830
Phone (561) 496-7900

Other practice location 3

1411 N Flagler Dr Ste 8000
West Palm Beach, FL 33401-3413
Phone (561) 655-1318

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9339420OtherFLLICENSE

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
I20180530000744 FL Practitioner - Nurse Practitioner 7315202082 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9339420FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services, LLC CurrentSince Mar 20, 2018 Accepting new patients
Medbetter Health PA CurrentSince Jan 20, 2026 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Mar 20, 2018 Accepting new patients
Medcare Solutions Professional Corporation PastSince Jun 1, 2021 Accepting new patients

Locations

3100 Ray Ferrero Jr Blvd
Davie, FL 33314
Phone (305) 339-1756

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

323 Sunny Isles Blvd
Ste 733
Sunny Isles Beach, FL 33160
Phone (305) 339-1756

3370 Burns Rd
Ste 103
West Palm Beach, FL 33410
Phone (561) 425-9881

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Interoperability endpoints

  • Direct secure messaging: ksenia.sokol.1@18542.direct.athenahealth.com
  • Direct secure messaging: ksokol20905@jupitermedicalcenter.direct-ci.com

Organizations & group practices 4

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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619496239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD STE 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-425-9881",
            "fax_number": "561-784-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 BURNS RD STE 103",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104327",
            "telephone_number": "561-425-9881",
            "fax_number": "561-784-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 Linton Blvd Ste A-1",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334846596",
            "country_code": "US",
            "telephone_number": "561-496-7900",
            "fax_number": "877-536-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11195 S Jog Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334371830",
            "country_code": "US",
            "telephone_number": "561-496-7900",
            "fax_number": "877-536-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 N Flagler Dr Ste 8000",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013413",
            "country_code": "US",
            "telephone_number": "561-655-1318",
            "fax_number": "561-655-6623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOKOL",
        "first_name": "KSENIA",
        "middle_name": "NIKOLAYEVNA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9339420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP9339420",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.