Individual provider Active NPI

Elizabeth Lebrun Nestor, M.D.

  • Dermatology Physician
  • Boynton Beach, FL
National Provider Identifier
1871887307
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME123440 Issued in FL
Practice address
9897 Hagen Ranch Road
Boynton Beach, FL 33472
Phone
(561) 364-7774
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME123440 FL Primary

Addresses

Primary practice location

9897 Hagen Ranch Road
Boynton Beach, FL 33472

Mailing address

9897 Hagen Ranch Rd
Boynton Beach, FL 33472

Other practice location 1

1401 N Federal Hwy
Boca Raton, FL 33432-1925
Phone (561) 955-8885

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914002620 FL Practitioner - Dermatology 6709193360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siperstein Dermatology Group PLLCGroup PAC ID 3476683145, 18 clinicians

Practice addresses (Care Compare)

950 Glades Rd
FL 4
Boca Raton, FL 33431-6401
Phone 5619558885327

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as group
Quality
93.58
Promoting interoperability
100
Improvement activities
40
Cost
79.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions4138
Removal or shaving of skin growth35
Skin biopsy864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Siperstein Dermatology Group, PLLC Dermatology CurrentSince Aug 1, 2015 Accepting new patients
Synergy Dermatology LLC Dermatology Past Accepting new patients

Locations

1401 N Federal Hwy
Boca Raton, FL 33432
Phone (561) 364-7774

950 Glades Rd
Fl 4
Boca Raton, FL 33431
Phone (561) 750-8666

9897 Hagen Ranch Rd
Boynton Beach, FL 33437
Phone (561) 364-7774

Interoperability endpoints

  • Direct secure messaging: drnestor@siperstein.emadirect.md

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": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1871887307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9897 HAGEN RANCH RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9897 HAGEN RANCH ROAD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33472",
            "telephone_number": "561-364-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334321925",
            "country_code": "US",
            "telephone_number": "561-955-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESTOR",
        "first_name": "ELIZABETH",
        "middle_name": "LEBRUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME123440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.