Individual provider Active NPI

Anjali Umesh Mhatre, CPNP-AC

  • Pediatric Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1730840018
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11006887 Issued in FL
Practice address
10301 Hagen Ranch Rd Ste D930
Boynton Beach, FL 33437-3732
Phone
(561) 736-7313
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN11006887 FL Primary

Addresses

Primary practice location

10301 Hagen Ranch Rd Ste D930
Boynton Beach, FL 33437-3732

Mailing address

9604 Capendon Ave Apt 208
Palm Beach Gardens, FL 33418-8154
Phone (386) 344-5428

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
I20220418002255 FL Practitioner - Nurse Practitioner 3870980006 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Florida Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: anjali.mhatre.1@32200.direct.athenahealth.com

Organizations & group practices 2

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": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1730840018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9604 CAPENDON AVE APT 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188154",
            "telephone_number": "386-344-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE D930",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373732",
            "telephone_number": "561-736-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MHATRE",
        "first_name": "ANJALI",
        "middle_name": "UMESH",
        "credential": "CPNP-AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11006887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.