Individual provider Active NPI

Susanne Leslie Smithson, APRN

  • Family Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1851874069
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9168900 Issued in FL
Practice address
10151 Enterprise Ctr Ste 102
Boynton Beach, FL 33437-3760
Phone
(561) 536-7884
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 ARNP9168900 FL Primary

Addresses

Primary practice location

10151 Enterprise Ctr Ste 102
Boynton Beach, FL 33437-3760

Mailing address

9091 Melody Rd
Lake Worth, FL 33467-4747
Phone (561) 634-0736

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
I20210722001640 FL Practitioner - Nurse Practitioner 2769885144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pamela M. Ermine, DO LLCGroup PAC ID 4981035177, 2 clinicians

Practice addresses (Care Compare)

10151 Enterprise Ctr Blvd
Suite 102
Boynton Beach, FL 33437-3760
Phone (561) 536-7884

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9168900FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela M. Ermine, DO LLC CurrentSince Jun 1, 2023 Accepting new patients
Otolaryngology Consultants, PA PastSince Sep 5, 2010 Accepting new patients
Florida ENT Associates, Inc. Past Accepting new patients
Medical Transitional Care Services, Inc PastSince Jul 19, 2021 Accepting new patients

Locations

10151 Entrprs Cntr Blvd
Ste 102
Boynton Beach, FL 33437
Phone (561) 536-7884

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1851874069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9091 MELODY RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334674747",
            "telephone_number": "561-634-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373760",
            "telephone_number": "561-536-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHSON",
        "first_name": "SUSANNE",
        "middle_name": "LESLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9168900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.