Individual provider Active NPI

Felice Ellen Cellini, P.A.-C

  • Medical Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1639411861
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA3312 Issued in FL
Practice address
3075 E. Commercial Blvd
Ft. Lauderdale, FL 33308
Phone
(954) 491-6200
Fax
(954) 491-6419
NPI assigned
Mar 26, 2013
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA3312 FL Primary

Addresses

Primary practice location

3075 E. Commercial Blvd
Ft. Lauderdale, FL 33308

Mailing address

3075 E. Commercial Blvd
Ft. Lauderdale, FL 33308
Phone (954) 491-6200

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
I20231003002458 FL Practitioner - Physician Assistant 5395199707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Physician Management Group of Hallandale, IncGroup PAC ID 4789958463, 3 clinicians
Personal Physician Care P aGroup PAC ID 2961456132, 18 clinicians

Practice addresses (Care Compare)

2100 E Hallandale Beach Blvd
Suite 307
Hallandale Beach, FL 33009-3771
Phone (954) 454-9055

4800 Linton Blvd
F107
Delray Beach, FL 33445-6506
Phone (561) 498-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA3312FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Physician Management Group of Hallandale, Inc. CurrentSince Oct 15, 2025 Accepting new patients
Personal Physician Care P a CurrentSince Oct 15, 2025 Accepting new patients

Locations

4800 Linton Blvd
Ste F107
Delray Beach, FL 33445
Phone (561) 498-4223

2100 E Hallandale Beach Blvd
Ste 307
Hallandale Beach, FL 33009
Phone (954) 454-7400

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": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1639411861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 E. COMMERCIAL BLVD",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-491-6200",
            "fax_number": "954-491-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 E. COMMERCIAL BLVD",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "954-491-6200",
            "fax_number": "954-491-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CELLINI",
        "first_name": "FELICE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA3312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.