Individual provider Active NPI

Christal Elise Spears

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1639737026
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11001463 Issued in FL
Practice address
3365 Burns Rd
Palm Beach Gardens, FL 33410-4326
Phone
(561) 775-1061
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11001463 FL Primary

Addresses

Primary practice location

3365 Burns Rd
Palm Beach Gardens, FL 33410-4326

Mailing address

3365 Burns Rd
Palm Beach Gardens, FL 33410-4326
Phone (561) 775-1064

Other names 1

  • Mrs. Christal Elise Spears Former name

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
I20210729001864 FL Practitioner - Nurse Practitioner 1759784614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1002 S Old Dixie Hwy
Jupiter, FL 33458-7202

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205

1210S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 747-2234

1240 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-4400

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 622-1411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11001463FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Dec 1, 2022 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Dec 1, 2022 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jun 17, 2021 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Jun 17, 2021 Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

2055 Military Trl
Ste 101
Jupiter, FL 33458
Phone (561) 741-1705

4741 Military Trl
Ste 100
Jupiter, FL 33458
Phone (561) 627-3130

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

Interoperability endpoints

  • Direct secure messaging: cspears22083@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1639737026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104326",
            "telephone_number": "561-775-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104326",
            "telephone_number": "561-775-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "CHRISTAL",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTAL",
            "last_name": "SPEARS",
            "middle_name": "ELISE",
            "prefix": "MRS.",
            "credential": "WHITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.