Carol P Ennis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11005062 Issued in FL

Practice address

10330 Nuvista Ave
Wellington, FL 33414-9365

Phone

(561) 598-5449

NPI assigned

Nov 13, 2019

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SHC Medical Partners of Florida, LLCGroup PAC ID 7618046517, 9 clinicians

Abode Care Partners Al VB LLCGroup PAC ID 1658403704, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida Healthcare at Home Home health agency, Lake Worth Beach, FL, CCN 108119
• First Choice Home Health Inc Home health agency, Boynton Beach, FL, CCN 108183

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1386413607
  Medicare reassignment Care Compare group NPD
• SHC Medical Partners of Florida, LLC

  dba Abode Care Partners

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1861677064
  Medicare reassignment Care Compare group NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Pensacola, FL
  • NPI 1558130716
  Medicare reassignment NPD
• Accountable Care Hospitalist Group

  • Internal Medicine Physician
  • Wellington, FL
  • NPI 1659640282
  Medicare reassignment NPD
• Accountable Care Post Acute Care Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Palm Springs, FL
  • NPI 1598209769
  Medicare reassignment NPD
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1528871126
  NPD
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Ridgeland, MS
  • NPI 1992518591
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• First Choice Home Health Inc

  • Home Health Agency
  • Boynton Beach, FL
  • NPI 1417041534
  Care Compare affiliation
• Hestia Healthcare at Home, LLC

  • Home Health Agency
  • Lake Worth Beach, FL
  • NPI 1710036397
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1760027767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 NUVISTA AVE",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149365",
            "telephone_number": "561-445-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 NUVISTA AVE",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149365",
            "telephone_number": "561-598-5449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 E Magnolia Cir",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334451242",
            "country_code": "US",
            "telephone_number": "561-445-4630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "CAROL",
        "middle_name": "P",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilio B Torres Professional Association
• Emily Harrison MD
• Doris Emmanuel, CRNA
• Empower Me Clinical Practice, LLC (Dr. Selena LaMotte, DSW)
• Empowernet Inc
• Robert S Epstein, MD
• Norman H Erenrich, MD
• Ergogenic Labs LLC
• Scott Erickson, ARNP
• Roosevelt Espenilla

• Family Nurse Practitioner in Wellington, FL
• Providers in Wellington, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.