Individual provider Active NPI

Alisabeth Ross, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1619528221
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11004242 Issued in FL
Practice address
7740 W Boynton Beach Blvd
Boynton Beach, FL 33437-3804
Phone
(561) 752-8000
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024189242 VA
Family Nurse Practitioner 363LF0000X 5020923 NC
Family Nurse Practitioner 363LF0000X AC007279 MD
Family Nurse Practitioner 363LF0000X CNP241008 ME
Family Nurse Practitioner 363LF0000X APRN11004242 FL Primary

Addresses

Primary practice location

7740 W Boynton Beach Blvd
Boynton Beach, FL 33437-3804

Mailing address

5401 Prairie TRL
West Palm Beach, FL 33405-3235
Phone (239) 560-1217

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
I20191218001645 FL Practitioner - Nurse Practitioner 3678907029 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11004242FLMDFamily Nurse Practitioner
AC007279MDMDFamily Nurse Practitioner
CNP241008MEMDFamily Nurse Practitioner
5020923NCMDFamily Nurse Practitioner
0024189242VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Care Physicians LLC CurrentSince Oct 28, 2019 Accepting new patients
Peter a Vitulli Jr D O P a CurrentSince Dec 12, 2022 Accepting new patients
American Mobile Dermatology LLC CurrentSince Dec 30, 2019 Accepting new patients
Mark E Pomper MD PA PastSince Dec 12, 2022 Accepting new patients
Skin Care Physicians PastSince Sep 29, 2019 Accepting new patients

Locations

7740 W Boynton Beach Blvd
Boynton Beach, FL 33437
Phone (561) 752-5592

1054 Gateway Blvd
Ste 106
Boynton Beach, FL 33426

1054 Gateway Blvd
Ste 110
Boynton Beach, FL 33426
Phone (407) 913-0001

4600 Military Trl
Ste 107
Jupiter, FL 33458
Phone (561) 427-2000

Organizations & group practices 5

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1619528221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 PRAIRIE TRL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334053235",
            "telephone_number": "239-560-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 W BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373804",
            "telephone_number": "561-752-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ALISABETH",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189242",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020923",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC007279",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP241008",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11004242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.