Christine Aggelis, APRN
Individual provider Active NPI Family Nurse Practitioner · Tavernier, FL
NPI 1669907457 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1669907457
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9286482 (FL)
- Practice address
- 456 Royal Poinciana Blvd Unit 3
Tavernier, FL 33070-2244 - Phone
- (313) 405-0676
- NPI assigned
- Apr 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221219000307 | FL | Practitioner - Nurse Practitioner | 5395169015 | Reassigns benefits to 1 organization |
| I20250717003696 | WA | Practitioner - Nurse Practitioner | 5395169015 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9286482 | FL | MD | Family Nurse Practitioner |
| 4704277353 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Washington PLLC | Current |
Accepting new patients | |
| Post Acute Medical PLLC | Current |
Accepting new patients | |
| Infinite Medical PC | Current |
Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
220 Sierra Dr
North Miami Beach, FL 33179
Phone (305) 653-8427
250 Skillman St
Ste 202
Brooklyn, NY 11205
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696
2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200
6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282
6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704277353 | MI | |
| Family Nurse Practitioner | 363LF0000X | 9286482 | FL | Yes |
Addresses
Primary practice location
456 Royal Poinciana Blvd Unit 3
Tavernier, FL 33070-2244
Mailing address
456 Royal Poinciana Blvd Unit 3
Tavernier, FL 33070-2244
Phone (313) 405-0676
Other practice location 1
1125 Edwards Ln
Orlando, FL 32804-6374
Phone (313) 405-0676
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Na | Other | |
| CONNECT URL | Na | Direct |
Other providers in Tavernier, FL
- Dayron L Acebo
- Advanced Behavior Opportunities Inc
- Affiliated Healthcare Centers, Inc
- Agape Health Medical Group LLC
- Agapemd, LLC
- Tatiana Agudedlo
- Marilyn R. Allen
- Altantic Key West Ambulance Inc
- Amy'S Angels Health Care, Inc.
- Milagros Alice Anampa
All providers in Tavernier, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.