Individual provider Active NPI

Janet Morris Cripanuk, ARNP

  • Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1861407579
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1399372 Issued in FL
Practice address
4847 David S Mack Dr
West Palm Beach, FL 33417-8023
Phone
(567) 946-7494
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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 1399372 FL Primary

Addresses

Primary practice location

4847 David S Mack Dr
West Palm Beach, FL 33417-8023

Mailing address

8734 Indian River Run
Boynton Beach, FL 33437-2455
Phone (561) 736-1538

Other identifiers 6

IdentifierTypeStateIssuer
305536100MedicaidFL
500023002OtherFLRR MEDICARE
P00019240OtherFLRR MEDICARE
P00019243OtherFLRR MEDICARE
75191038MedicaidFL
Y0259OtherFLBLUE SHIELD

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
I20090513000622 FL Practitioner - Nurse Practitioner 4284783689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joseph L Morse Health Center, IncGroup PAC ID 6800853706, 3 clinicians

Practice addresses (Care Compare)

4847 David S Mack Dr
West Palm Beach, FL 33417-8023
Phone (561) 471-5111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1399372FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morselife Housing Corporation CurrentSince Dec 10, 2008 Accepting new patients
Joseph L Morse Health Center, Inc. CurrentSince Dec 1, 2008 Accepting new patients
Joseph L Morse Health Center, Inc. CurrentSince Dec 1, 2008 Accepting new patients

Locations

4847 David S Mack Dr
West Palm Beach, FL 33417
Phone (561) 209-6123

Organizations & group practices 3

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1861407579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8734 INDIAN RIVER RUN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334372455",
            "telephone_number": "561-736-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 DAVID S MACK DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334178023",
            "telephone_number": "567-946-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIPANUK",
        "first_name": "JANET",
        "middle_name": "MORRIS",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "1399372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305536100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "500023002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00019240",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00019243",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75191038",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "Y0259",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.