Individual provider Active NPI

Nerlande Anneus

  • Family Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1689400236
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11034484 Issued in FL
Practice address
192 Kensington Way
Royal Palm Beach, FL 33414-4314
Phone
(561) 309-5564
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 11034484 FL Primary

Addresses

Primary practice location

192 Kensington Way
Royal Palm Beach, FL 33414-4314

Mailing address

192 Kensington Way
Royal Palm Beach, FL 33414-4314
Phone (561) 309-5564

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
I20250713000008 FL Practitioner - Nurse Practitioner 9436664174 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11034484FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bonafide Healthcare Services LLC CurrentSince May 2, 2025 Accepting new patients

Locations

4849 Lake Worth Rd
#204A
Greenacres, FL 33463
Phone (561) 536-3913

Interoperability endpoints

  • Direct secure messaging: nerlande.anneus.1@32578.direct.athenahealth.com

Organizations & group practices 1

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1689400236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 KENSINGTON WAY",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144314",
            "telephone_number": "561-309-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 KENSINGTON WAY",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144314",
            "telephone_number": "561-309-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNEUS",
        "first_name": "NERLANDE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.