Individual provider Active NPI

Sabrina Lyssa Elien, ARNP

  • Family Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1902373905
Registry record updated Oct 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9318568 Issued in FL
Practice address
117 Seminole Lakes Dr
Royal Palm Beach, FL 33411-4211
Phone
(561) 315-8921
NPI assigned
Oct 28, 2018
Last updated
Oct 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2018

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 9318568 FL Primary

Addresses

Primary practice location

117 Seminole Lakes Dr
Royal Palm Beach, FL 33411-4211

Mailing address

117 Seminole Lakes Dr
Royal Palm Beach, FL 33411-4211
Phone (561) 315-8921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VT, GA3 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240111001044 IL Practitioner - Nurse Practitioner 9133581804
I20240119002215 VT Practitioner - Nurse Practitioner 9133581804
I20240627003186 GA Practitioner - Nurse Practitioner 9133581804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9318568FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Practice Care LLC Current Accepting new patients
Advance Practice Care LLC Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1540684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540684800000",
    "number": "1902373905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SEMINOLE LAKES DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114211",
            "telephone_number": "561-315-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SEMINOLE LAKES DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114211",
            "telephone_number": "561-315-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIEN",
        "first_name": "SABRINA",
        "middle_name": "LYSSA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-28",
        "last_updated": "2018-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9318568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.