Individual provider Active NPI

Michael Lawrence Kieffer, APRN, FNP-BC

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1710594221
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009396 Issued in FL
Practice address
990 S Rogers Cir Ste 4
Boca Raton, FL 33487-2836
Phone
(561) 948-2020
NPI assigned
Sep 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 11009396 FL Primary

Addresses

Primary practice location

990 S Rogers Cir Ste 4
Boca Raton, FL 33487-2836

Mailing address

990 S Rogers Cir Ste 4
Boca Raton, FL 33487-2836
Phone (561) 948-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2023 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11009396FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Care Vip LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

10055 Yamato Rd
Ste 115
Boca Raton, FL 33498
Phone (561) 948-2020

990 S Rogers Cir
Ste 4
Boca Raton, FL 33487
Phone (561) 948-2020

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1710594221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 S ROGERS CIR STE 4",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872836",
            "telephone_number": "561-948-2020",
            "fax_number": "561-785-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 S ROGERS CIR STE 4",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872836",
            "telephone_number": "561-948-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFFER",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.