Elizabeth M Acloque, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Palm Coast, FL
NPI 1972191005 · NPPES record last updated May 3, 2025
Key facts
- NPI
- 1972191005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11010908 (FL)
- Practice address
- 180 Pinnacles Dr Ste 201
Palm Coast, FL 32164-2597 - Phone
- (904) 325-9585
- Fax
- (386) 310-0613
- NPI assigned
- Jan 5, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Halifax Healthcare Systems Inc
Practice addresses (Care Compare)
303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in FL, SC, NC, GA
- 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 |
|---|---|---|---|---|
| I20210407000802 | FL | Practitioner - Nurse Practitioner | 3274940382 | Reassigns benefits to 4 organizations |
| I20210827000701 | SC | Practitioner - Nurse Practitioner | 3274940382 | |
| I20210908000132 | NC | Practitioner - Nurse Practitioner | 3274940382 | Reassigns benefits to 1 organization |
| I20211014003395 | GA | Practitioner - Nurse Practitioner | 3274940382 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25131 | SC | MD | Gastroenterology Physician |
| APRN11010908 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| QSM-NC, PA | Family | Current |
Accepting new patients |
| Golden Health Practitioners Inc. | Current |
Accepting new patients | |
| Quality Surgical Management Inc | Current |
Accepting new patients | |
| QSM-Ky, Inc | Family | Current |
Accepting new patients |
| Telehealth Clinical Evals LLC | Current |
Accepting new patients | |
| Color Gallery, Inc. | Current |
Accepting new patients | |
| RFH Jacksonville LLC | Current |
Accepting new patients | |
| Rose Haven Health Services , LLC | Current |
Accepting new patients | |
| RFH Orlando LLC | Current |
Accepting new patients | |
| Icare Clinic & Medspa LLC | Family | Current |
Accepting new patients |
| Prime Regen Decatur | Past |
Accepting new patients |
Locations
21150 Biscayne Blvd
Ste 400
Aventura, FL 33180
910 Brookmeade Dr
Crestview, FL 32539
Phone (850) 398-5515
3800 S Ocean Dr
Ste 209
Hollywood, FL 33019
Phone 80022688741013
4811 Beach Blvd
Ste 300
Jacksonville, FL 32207
Phone (470) 292-3820
9400 SW 137th Ave
Miami, FL 33186
Phone (305) 385-8290
6881 Kingspointe Pkwy
Ste 2
Orlando, FL 32819
Phone (407) 412-5600
180 Pinnacles Dr
Ste 201
Palm Coast, FL 32164
Phone (877) 212-7796
4580 Memorial Dr
Decatur, GA 30032
Phone (404) 963-6861
1 Sparks Ave
Jamestown, KY 42629
Phone (270) 343-2101
9600 Lamborne Blvd
Louisville, KY 40272
Phone (502) 935-7284
95 Holcombe Cove Rd
Candler, NC 28715
Phone (828) 667-9851
3100 Erwin Rd
Durham, NC 27705
Phone (828) 652-3022
5935 Mount Sinai Rd
Durham, NC 27705
Phone (919) 402-2450
3830 N Main St
High Point, NC 27265
Phone (336) 405-4946
1410 E Gaston St
Lincolnton, NC 28092
Phone (704) 732-1138
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032
Interoperability endpoints
- elizabeth.acloque.1@28696.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11010908 | FL | Yes |
Addresses
Primary practice location
180 Pinnacles Dr Ste 201
Palm Coast, FL 32164-2597
Mailing address
18 Weyanoke LN
Palm Coast, FL 32164-4055
Phone (860) 514-6368
Other providers in Palm Coast, FL
- Nadeen Karim Abu Ata
- Abundant Life Ministries-Hope House, Inc.
- Accurate Healthcare Palm Coast LLC
- Achieve Pediatric Home Therapies LLC
- Nicholas Ackron
- Caridad Acosta
- Acuity Retail Whaley, LLC
- Acute Care Pediatrics of Palm Coast, PA
- Adams Medical Associates, PA
- Rachel Adams
All providers in Palm Coast, 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 May 3, 2025. 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.