Individual provider Active NPI

Johanna Calderon, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1639821697
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017098 Issued in FL
Practice address
314 Venice Blvd
Royal Palm Beach, FL 33411-4318
Phone
(305) 205-6240
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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 APRN11017098 FL Primary

Addresses

Primary practice location

314 Venice Blvd
Royal Palm Beach, FL 33411-4318

Mailing address

314 Venice Blvd
Royal Palm Beach, FL 33411-4318
Phone (305) 205-6240

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
I20220623001435 FL Practitioner - Nurse Practitioner 4981083862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11017098FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Tampa General Provider Network Inc CurrentSince Nov 6, 2023 Accepting new patients
Tampa General Provider Network Inc CurrentSince Nov 6, 2023 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince May 16, 2022 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince May 16, 2022 Accepting new patients
Tampa General Provider Network Inc Past Accepting new patients

Locations

641 University Blvd
Ste 105
Jupiter, FL 33458
Phone (561) 691-6030

3401 Pga Blvd
Ste 500
West Palm Bch, FL 33410
Phone (561) 659-6543

1201 N Olive Ave
West Palm Beach, FL 33401
Phone (561) 621-0012

1411 N Flagler Dr
Ste 4900
West Palm Beach, FL 33401
Phone (561) 802-9966

1411 N Flagler Dr
Ste 5600
West Palm Beach, FL 33401
Phone (561) 659-6543

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

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jcalderon19467@jupitermedicalcenter.direct-ci.com
  • Direct secure messaging: jcalderon279088@direct.tgh.org

Organizations & group practices 6

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1639821697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 VENICE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114318",
            "telephone_number": "305-205-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 VENICE BLVD",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114318",
            "telephone_number": "305-205-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "JOHANNA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.