Individual provider Active NPI

Karen J McLellan, APRN

  • Family Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1669931283
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000985 Issued in FL
Practice address
6111 Homeland Rd
Lake Worth, FL 33449-5802
Phone
(954) 410-0813
Fax
(561) 333-1858
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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 APRN11000985 FL Primary

Addresses

Primary practice location

6111 Homeland Rd
Lake Worth, FL 33449-5802

Mailing address

6111 Homeland Rd
Lake Worth, FL 33449-5802
Phone (954) 410-0813

Other practice location 1

6111 Homeland Rd
Lake Worth, FL 33449-5802
Phone (954) 410-0813

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
I20190514000338 FL Practitioner - Nurse Practitioner 0042553190 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accountable Teaching Services LLCGroup PAC ID 0941568992, 21 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone (561) 766-1301

Hospital & facility affiliations

  • Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Group of the Palm Beaches PA CurrentSince May 10, 2019 Accepting new patients
Accountable Teaching Services LLC CurrentSince Jul 1, 2024 Accepting new patients
Accountable Care Hospitalist Group CurrentSince Dec 25, 2020 Accepting new patients
Accountable Care Post Acute Care Services LLC CurrentSince Jul 25, 2019 Accepting new patients

Locations

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1669931283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 HOMELAND RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495802",
            "telephone_number": "954-410-0813",
            "fax_number": "561-333-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 HOMELAND RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334495802",
            "telephone_number": "954-410-0813",
            "fax_number": "561-333-1858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6111 Homeland Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334495802",
            "country_code": "US",
            "telephone_number": "954-410-0813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLELLAN",
        "first_name": "KAREN",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.