Individual provider Active NPI

Kemline Metellus Dorvil, NP-C

  • Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1699220426
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG0416062 Issued in FL
Practice address
4601 N Congress Ave Ste 203
West Palm Beach, FL 33407-3381
Phone
(561) 429-2401
Fax
(561) 429-2931
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG0416062 FL Primary

Addresses

Primary practice location

4601 N Congress Ave Ste 203
West Palm Beach, FL 33407-3381

Mailing address

4601 N Congress Ave Ste 203
West Palm Beach, FL 33407-3381
Phone (561) 429-2401

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
I20190114002275 FL Practitioner - Nurse Practitioner 6305182262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-2234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AG0416062FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scaps Medical, LLC CurrentSince Sep 15, 2018 Accepting new patients
Accountable Care Hospitalist Group CurrentSince Jul 1, 2024 Accepting new patients

Locations

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

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

4601 N Congress Ave
Ste 107
West Palm Beach, FL 33407
Phone (561) 652-8650

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

400 Executive Center Dr
Ste 110
West Palm Beach, FL 33401
Phone (561) 429-2401

4601 N Congress Ave
Ste 203
West Palm Beach, FL 33407
Phone (561) 429-2401

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJCHBA

Organizations & group practices 3

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1699220426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE STE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073381",
            "telephone_number": "561-429-2401",
            "fax_number": "561-429-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 N CONGRESS AVE STE 203",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073381",
            "telephone_number": "561-429-2401",
            "fax_number": "561-429-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORVIL",
        "first_name": "KEMLINE",
        "middle_name": "METELLUS",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "AG0416062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.