Oteliah Ann Marie Carter Sherwood
Individual provider Active NPI Family Nurse Practitioner · Coconut Creek, FL
NPI 1891540779 · NPPES record last updated Apr 23, 2024
Key facts
- NPI
- 1891540779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11032318 (FL)
- Practice address
- 4890 N State Road 7
Coconut Creek, FL 33073-3303 - Phone
- (954) 379-3528
- NPI assigned
- Apr 23, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Accountable Care Hospitalist Group
Morselife Hospice Institute Inc
Practice addresses (Care Compare)
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-2234
4847 David S Mack Dr
West Palm Beach, FL 33417-8023
4876 N Morselife Dr
West Palm Beach, FL 33417-8022
Phone (561) 868-6573
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250702003538 | FL | Practitioner - Nurse Practitioner | 5597278465 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11032318 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morselife Hospice Institute, Inc. | Current |
Accepting new patients | |
| Accountable Care Hospitalist Group | Current |
Accepting new patients | |
| Morselife Hospice Institute, Inc. | Past |
Accepting new patients |
Locations
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
4876 N Morselife Dr
West Palm Beach, FL 33417
Phone (561) 341-8576
1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601
13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11032318 | FL | Yes |
Addresses
Primary practice location
4890 N State Road 7
Coconut Creek, FL 33073-3303
Mailing address
5368 Macoon Way
Westlake, FL 33470-7059
Phone (954) 394-0705
Other providers in Coconut Creek, FL
- Care Billing LLC
- Careflow LLC
- Caring Nurses Home Health Broward LLC
- Caring People of Coconut Creek LLC
- John Carosella
- Erika Michelle Carter
- Felicia Caruso
- Andrew Steven Cass
- Laura Castillo
- Maria A Castro
All providers in Coconut Creek, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.