Individual provider Active NPI

Chanrecle Erainal Rumpasard, APRN

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1669156121
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11026715 Issued in FL
Practice address
5601 N Federal Hwy
Boca Raton, FL 33487-4012
Phone
(561) 388-9337
Fax
(561) 409-4799
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 11026715 FL Primary

Addresses

Primary practice location

5601 N Federal Hwy
Boca Raton, FL 33487-4012

Mailing address

5601 N Federal Hwy
Boca Raton, FL 33487-4012
Phone (561) 388-9337

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
I20240116000022 FL Practitioner - Nurse Practitioner 0244682235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vital Urgent Care LLCGroup PAC ID 7214330778, 5 clinicians

Practice addresses (Care Compare)

1749 N Military TRL
Suite a
West Palm Beach, FL 33409-4769
Phone (561) 880-9880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11026715FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jemz Health & Lab Professional Limited Liability Company CurrentSince Dec 29, 2025 Accepting new patients
E and a Medical on the Go Healthcare of South Florida LLC CurrentSince Jun 18, 2023 Accepting new patients
Vital Urgent Care LLC CurrentSince Jan 2, 2024 Accepting new patients
Vital Wound Care LLC CurrentSince Nov 17, 2024 Accepting new patients
Vital Health Center LLC PastSince Jan 19, 2025 Accepting new patients

Locations

5601 N Federal Hwy
Boca Raton, FL 33487
Phone (561) 388-9337

1749 N Military Trl
Ste A
West Palm Beach, FL 33409
Phone (561) 223-9846

Interoperability endpoints

  • Direct secure messaging: chanrecle.rumpasard.1@24662.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24662/brand/1/csg/1/fhir/r4

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1669156121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874012",
            "telephone_number": "561-388-9337",
            "fax_number": "561-409-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334874012",
            "telephone_number": "561-388-9337",
            "fax_number": "561-409-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMPASARD",
        "first_name": "CHANRECLE",
        "middle_name": "ERAINAL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11026715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.