Individual provider Active NPI

Leslie Aston Wattkis

  • Gerontology Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1952876070
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
9411334 Issued in FL
Practice address
1601 Clint Moore Rd
Boca Raton, FL 33487-2768
Phone
(561) 939-0208
NPI assigned
Oct 4, 2018
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 9411334 FL Primary

Addresses

Primary practice location

1601 Clint Moore Rd
Boca Raton, FL 33487-2768

Mailing address

1601 Clint Moore Rd Ste 9
Boca Raton, FL 33487-2768

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
I20181228000550 FL Practitioner - Nurse Practitioner 8628313319 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Care Medical Group of FL, LLCGroup PAC ID 9638598576, 14 clinicians

Practice addresses (Care Compare)

7300 Del Prado Cir S
Boca Raton, FL 33433-3386
Phone (561) 392-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9411334FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health Southeast LLC CurrentSince Dec 15, 2024 Accepting new patients
Jupiter Hospitalists Inc CurrentSince Feb 24, 2021 Accepting new patients
Critical Care Associates of South Florida LLC CurrentSince Dec 1, 2018 Accepting new patients
Accountable Teaching Services LLC CurrentSince Feb 1, 2022 Accepting new patients
Florida Woman Care, LLC Past Accepting new patients

Locations

7300 Del Prado Cir S
Boca Raton, FL 33433
Phone (561) 392-3000

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

17781 Thelma Ave
Jupiter, FL 33458
Phone (561) 746-2998

210 Jupiter Lakes Blvd
Ste 4202
Jupiter, FL 33458
Phone (561) 366-6777

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

Organizations & group practices 6

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": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1952876070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 9",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872768",
            "telephone_number": "561-939-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTKIS",
        "first_name": "LESLIE",
        "middle_name": "ASTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9411334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.