Individual provider Active NPI

Ronald D Philogene, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1922687995
Registry record updated Apr 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11012516 Issued in FL
Practice address
701 Old Dixie Hwy
Jupiter, FL 33469-2493
Phone
(561) 356-8856
NPI assigned
Apr 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APRN11012516 FL Primary

Addresses

Primary practice location

701 Old Dixie Hwy
Jupiter, FL 33469-2493

Mailing address

701 Old Dixie Hwy
Tequesta, FL 33469-2493
Phone (561) 356-8856

Other identifiers 1

IdentifierTypeStateIssuer
APRN11012516OtherFLFLORIDA STATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220915001344 FL Practitioner - Nurse Practitioner 6608251459 Reassigns benefits to 1 organization
I20260323000341 NJ Practitioner - Nurse Practitioner 6608251459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians

Practice addresses (Care Compare)

360 NW 27TH St
Office/Suite 08 109
Miami, FL 33127-1504
Phone (805) 807-3303

900 Haddon Ave
Collingswood, NJ 08108-2101
Phone (800) 423-4400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11012516FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Author Health Professionals, PC Single Specialty CurrentSince Oct 20, 2025 Accepting new patients
Mindpath Health Florida, PLLC Single Specialty PastSince Jun 15, 2022 Accepting new patients
Elssy N. Oms MD PA Single Specialty PastSince Nov 6, 2022 Accepting new patients

Locations

360 NW 27th St
#8109
Miami, FL 33127
Phone (805) 807-3303

900 Haddon Ave
Collingswood, NJ 08108
Phone (609) 232-2945

900 Haddon Ave
Ste 3049
Collingswood, NJ 08108

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, 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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712448000000",
    "number": "1922687995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 OLD DIXIE HWY",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692493",
            "telephone_number": "561-356-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OLD DIXIE HWY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334692493",
            "telephone_number": "561-356-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILOGENE",
        "first_name": "RONALD",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2024-04-07",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11012516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE BOARD OF NURSING",
            "identifier": "APRN11012516",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.