Individual provider Active NPI

Sharissa Youngblood, APRN

  • Primary Care Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1689143422
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11000257 Issued in FL
Practice address
6080 Boynton Beach Blvd Ste 100
Boynton Beach, FL 33437-3586
Phone
(877) 412-7272
NPI assigned
Nov 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN11000257 FL Primary

Addresses

Primary practice location

6080 Boynton Beach Blvd Ste 100
Boynton Beach, FL 33437-3586

Mailing address

6586 Hypoluxo Rd Ste 334
Lake Worth, FL 33467-7678
Phone (877) 412-7272

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sharissayoungbloodAPRN@mhccaremail.com Direct

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
I20190816001495 FL Practitioner - Nurse Practitioner 0648507418 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BCMD Pain Management PLLCGroup PAC ID 3678646528, 5 clinicians

Practice addresses (Care Compare)

10330 Nuvista Ave
Addington at Wellington Green
Wellington, FL 33414-9365
Phone (561) 795-3360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.67 of 100Reported as individual
Quality
33.33
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Spine LLC CurrentSince Feb 1, 2020 Accepting new patients
BCMD Pain Management PLLC CurrentSince Feb 1, 2020 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Jan 1, 2023 Accepting new patients
West Palm Beach Physician Group Inc CurrentSince Jun 1, 2021 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

6056 W Boynton Beach Blvd
Ste 175
Boynton Beach, FL 33437
Phone (561) 572-2024

6080 W Boynton Beach Blvd
Ste 100
Boynton Beach, FL 33437
Phone (561) 203-9285

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

5700 Stirling Rd
Ste 100
Hollywood, FL 33021
Phone (305) 396-3858

6586 Hypoluxo Rd
Lake Worth, FL 33467
Phone (561) 248-8900

12989 Southern Blvd
Ste 202
Loxahatchee, FL 33470
Phone (561) 753-7487

5555 W Blue Heron Blvd
Riviera Beach, FL 33418
Phone (561) 659-1000

10330 Nuvista Ave
Wellington, FL 33414
Phone (561) 598-5419

12300 South Shore Blvd
Ste 200
Wellington, FL 33414

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

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

Interoperability endpoints

  • Direct secure messaging: sharissayoungbloodaprn@mhccaremail.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1542931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1689143422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6586 HYPOLUXO RD STE 334",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677678",
            "telephone_number": "877-412-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 BOYNTON BEACH BLVD STE 100",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373586",
            "telephone_number": "877-412-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "SHARISSA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-23",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11000257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharissayoungbloodAPRN@mhccaremail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6080 Boynton Beach Blvd Ste 100",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334373586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.