Individual provider Active NPI

Elizabeth Anne Boyle, MSN, FNP-BC

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1760778955
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9341087 Issued in FL
Practice address
8001 9TH St N
St Petersburg, FL 33702-4109
Phone
(866) 389-2727
NPI assigned
Jun 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 ARNP9341087 FL Primary

Addresses

Primary practice location

8001 9TH St N
St Petersburg, FL 33702-4109

Mailing address

8001 9TH St N
St Petersburg, FL 33702-4109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110915000084 IL Practitioner - Nurse Practitioner 8820269228 Reassigns benefits to 1 organization
I20180621000345 FL Practitioner - Nurse Practitioner 8820269228 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9341087FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Gastroenterology LLP CurrentSince Jun 18, 2018 Accepting new patients
The University of Chicago Medical Center CurrentSince Jan 10, 2015 Accepting new patients
Wellmed Medical Management of Florida Inc CurrentSince May 15, 2023 Accepting new patients
The University of Chicago Medical Center CurrentSince Jan 10, 2015 Accepting new patients
Gastro Florida Pharmacy, LLC PastSince Dec 15, 2019 Accepting new patients

Locations

920 S Myrtle Ave
Ste A
Clearwater, FL 33756
Phone (727) 462-0444

3001 Executive Dr
Ste 130
Clearwater, FL 33762
Phone (727) 329-3371

6225 66th St N
Pinellas Park, FL 33781
Phone (727) 521-0994

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

Interoperability endpoints

  • Direct secure messaging: elizabeth.boyle@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

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": "1309046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1760778955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024109",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-26",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9341087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.