Individual provider Active NPI

Rachel Wickell Lynch, CRNP

  • Nurse Practitioner
  • Stuart, FL
National Provider Identifier
1801354071
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11001419 Issued in FL
Practice address
1050 SE Monterey Rd Ste 101
Stuart, FL 34994-4512
Phone
(772) 678-7043
NPI assigned
Mar 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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 APRN11001419 FL Primary

Addresses

Primary practice location

1050 SE Monterey Rd Ste 101
Stuart, FL 34994-4512

Mailing address

17620 Cinquez Park Rd W
Jupiter, FL 33458-3993

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
I20190416003002 FL Practitioner - Nurse Practitioner 0749521912 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michele F Libman MD PA CurrentSince Nov 6, 2019 Accepting new patients
PCC Medical Holdings LLC CurrentSince Dec 31, 2021 Accepting new patients

Locations

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

1050 SE Monterey Rd
Ste 101
Stuart, FL 34994
Phone (772) 419-0560

1980 SE Ocean Blvd
Stuart, FL 34996
Phone (772) 210-5450

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rachel.lynch.1@32578.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": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1801354071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17620 CINQUEZ PARK RD W",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD STE 101",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-678-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "RACHEL",
        "middle_name": "WICKELL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11001419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.