Individual provider Active NPI

Heden Presendieu

  • Family Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1972921781
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME157838 Issued in FL
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

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address hpresendieu360753@Direct.leememorial.org Direct Lee Memorial Health System

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140618000637 FL Practitioner - Nurse Practitioner 7416171202 Reassigns benefits to 3 organizations
I20230809000481 FL Practitioner - HospitalistPractitioner - Family Practice 7416171202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Bridge IncGroup PAC ID 2769746452, 7 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

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

LicenseStateTypeSpecialty
ME157838FLMDFamily Medicine Physician
9340017FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Memorial Health System CurrentSince Dec 1, 2023 Accepting new patients
Lee Memorial Health System CurrentSince Dec 1, 2023 Accepting new patients
Lee Health System Inc Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Sep 1, 2023 Accepting new patients
Lee Memorial Health System Family Medicine Current Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2024 Accepting new patients
Key Bridge, Inc. CurrentSince Aug 16, 2023 Accepting new patients
HHA Associates LLC CurrentSince Mar 1, 2024 Accepting new patients
Key Bridge GP Inc Family Medicine PastSince Aug 16, 2023 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

  • Direct secure messaging: hpresendieu360753@direct.leememorial.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDDHCD/Endpoint/HDDHCD
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.