Active NPI
Heden Presendieu
- Family Medicine Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME157838
- Practice address
- 1054 Gateway Blvd Ste 109
Boynton Beach, FL 33426-8309 - Phone
- (561) 715-4058
- Fax
- (850) 633-2424
- NPI assigned
- Mar 31, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9340017 | FL | |
| Family Nurse Practitioner | 363LF0000X | 9340017 | FL | |
| Family Medicine Physician | 207Q00000X | ME157838 | FL | Primary |
Addresses
Primary practice location
1054 Gateway Blvd Ste 109
Boynton Beach, FL 33426-8309
Mailing address
111 NE 3Rd Ave
Boynton Beach, FL 33435-3862
Phone (561) 715-4058
Other practice location 1
1111 12th St Ste 212
Key West, FL 33040-3001
Phone (305) 783-3677
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hpresendieu360753@Direct.leememorial.org | Direct | Lee Memorial Health System |
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: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 12TH St
Suite 101
Key West, FL 33040-4084
Phone (305) 783-3677
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME157838 | FL | MD | Family Medicine Physician |
| 9340017 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Health System Inc | Family Medicine | Current | Accepting new patients |
| Florida Hospital Medicine Services, LLC. | Current | Accepting new patients | |
| Lee Memorial Health System | Family Medicine | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Key Bridge, Inc. | Current | Accepting new patients | |
| HHA Associates LLC | Current | Accepting new patients | |
| Key Bridge GP Inc | Family Medicine | Past | Accepting new patients |
Locations
9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
8650 W Sample Rd
Coral Springs, FL 33065
Phone (305) 783-3677
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
1111 12th St
Ste 101
Key West, FL 33040
Phone (305) 783-3677
1111 12th St
Ste 212
Key West, FL 33040
Phone (305) 296-2212
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- hpresendieu360753@direct.leememorial.org
- https://fhir4.healow.com/fhir/r4/HDDHCD/Endpoint/HDDHCD
- lmchprese@yourcarecommunity.org
Organizations & group practices 10
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.
-
- Community/Behavioral Health Agency
- Key West, FL
- NPI 1306381215
-
dba Florida Acute Care Specialists (FLACS)
- Hospitalist Physician
- Boca Raton, FL
- NPI 1508873183
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
Family Medicine
-
- Family Medicine Physician
- Boynton Beach, FL
- NPI 1700426020
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
dba LCH-Golisano Peds PC Bayshore
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
dba LCH- Pediatric Ophthalmology
- Federally Qualified Health Center (FQHC)
- Fort Myers, FL
- NPI 1770165920
-
- Family Medicine Physician
- Key West, FL
- NPI 1821591447
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1972921781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 NE 3RD AVE",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334353862",
"telephone_number": "561-715-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 GATEWAY BLVD STE 109",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268309",
"telephone_number": "561-715-4058",
"fax_number": "850-633-2424"
}
],
"practiceLocations": [
{
"address_1": "1111 12th St Ste 212",
"address_purpose": "LOCATION",
"city": "Key West",
"state": "FL",
"postal_code": "330403001",
"country_code": "US",
"telephone_number": "305-783-3677",
"fax_number": "305-407-3395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRESENDIEU",
"first_name": "HEDEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-31",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "9340017",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9340017",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME157838",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hpresendieu360753@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "Lee Memorial Health System",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.