Active NPI
Christal Elise Spears
- Family Nurse Practitioner
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11001463
- Practice address
- 3365 Burns Rd
Palm Beach Gardens, FL 33410-4326 - Phone
- (561) 775-1061
- NPI assigned
- May 31, 2019
- Last updated
- May 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11001463 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Tenet Florida Physician Services LLC | Current | Accepting new patients | |
| Tenet Florida Physician Services, LLC | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
- Surgery Physician
- West Palm Beach, FL
- NPI 1659417467
-
dba JMC Community Care
- Pediatric Surgery Physician
- Jupiter, FL
- NPI 1093344376
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1699111211
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jupiter, FL
- NPI 1295721090
-
dba Palm Beach Gardens Medical Center
- General Acute Care Hospital
- Palm Beach Gardens, FL
- NPI 1144251216
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
- South Florida Orthopaedics & Sports Medicine, PA (Atlantis Orthopaedics)
- South Florida Radiation Oncology LLC
- South Florida Surgical Specialists, LLC
- Southeast University Physicians PLLC
- Melissa Spaeth
- Special Kids Speech, LLC
- Specialized Aesthetics, P.a. (Hass Plastic Surgery)
- Spectrum Recovery Services, LLC
- Raquel Sperry
- Oriel Spierer, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.