Individual provider Active NPI

Aneilla None Alcin, NP

  • Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1972213346
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11023209 Issued in FL
Practice address
2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323
Phone
(561) 309-9739
Fax
(561) 829-2286
NPI assigned
Nov 28, 2022
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11023209 FL Primary
Registered Nurse 163W00000X 9351218 FL

Addresses

Primary practice location

2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323

Mailing address

2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323
Phone (561) 309-9739

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
I20250611002297 FL Practitioner - Nurse Practitioner 6002326709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Deno Services IncGroup PAC ID 7618238726, 9 clinicians

Practice addresses (Care Compare)

10287 Okeechobee Blvd
Suite A6
West Palm Beach, FL 33411-1410
Phone (561) 740-6579

4801 SE Cove Rd
Stuart, FL 34997-1502
Phone (772) 286-9440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9351218FLMDRegistered Nurse
11023209FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deno Services Inc CurrentSince Mar 10, 2025 Accepting new patients
Alcin Medical Group Current Accepting new patients
Sante Plus Medical Center Past Accepting new patients
Sante Plus Medical Center Past Accepting new patients

Locations

2500 Quantum Lakes Dr
Ste 203
Boynton Beach, FL 33426
Phone (561) 502-1992

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

4801 SE Cove Rd
Stuart, FL 34997
Phone (772) 286-9410

Organizations & group practices 4

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1972213346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268323",
            "telephone_number": "561-309-9739",
            "fax_number": "561-829-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 203",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268323",
            "telephone_number": "561-309-9739",
            "fax_number": "561-829-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCIN",
        "first_name": "ANEILLA",
        "middle_name": "NONE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11023209",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9351218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.