Individual provider Active NPI

Farah Penel, APRN

  • Critical Care Medicine Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1912542879
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
APRN11003797 Issued in FL
Practice address
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone
(407) 303-7283
Fax
(407) 303-0473
NPI assigned
Nov 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X APRN11003797 FL Primary
Nurse Practitioner 363L00000X 11003797 FL
Adult Health Nurse Practitioner 363LA2200X APRN11003797 FL

Addresses

Primary practice location

2500 Harbor Blvd
Port Charlotte, FL 33952-5000

Mailing address

30310 SW 154TH Ave
Homestead, FL 33033-3503
Phone (786) 261-9556

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
I20200116000686 FL Practitioner - Nurse Practitioner 6800221094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensive Care Consortium IncGroup PAC ID 0244269413, 485 clinicians
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
South Florida Critical Care Services LLCGroup PAC ID 2466714241, 151 clinicians

Practice addresses (Care Compare)

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (561) 997-0821

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

3663 S Miami Ave
Miami, FL 33133-4253
Phone (615) 272-8900

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 965-7300

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (561) 997-0821

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (305) 661-9404

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003797FLMDNurse Practitioner
APRN11003797FLMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Critical Care Services LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8370 W Flagler St
Ste 226
Miami, FL 33144
Phone (305) 917-5414

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.

Hospital & facility affiliations 3

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1912542879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30310 SW 154TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333503",
            "telephone_number": "786-261-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HARBOR BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525000",
            "telephone_number": "407-303-7283",
            "fax_number": "407-303-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENEL",
        "first_name": "FARAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "APRN11003797",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11003797",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11003797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.