Individual provider Active NPI

Corlina M Johnson, AGPCNP-BC, AAHIVS

  • Primary Care Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1982030276
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9274792 Issued in FL
Practice address
1501 Corporate Dr Ste 100-S6
Boynton Beach, FL 33426-6600
Phone
(561) 250-3595
Fax
(561) 783-2207
NPI assigned
Sep 19, 2013
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 9274792 FL
Adult Health Nurse Practitioner 363LA2200X ARNP9274792 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9274792 FL
Primary Care Nurse Practitioner 363LP2300X ARNP9274792 FL Primary

Addresses

Primary practice location

1501 Corporate Dr Ste 100-S6
Boynton Beach, FL 33426-6600

Mailing address

1501 Corporate Dr Ste 100-S6
Boynton Beach, FL 33426-6600
Phone (561) 250-3595

Other practice location 1

777 E 25th St Ste 308
Hialeah, FL 33013-3824
Phone (786) 567-5400

Other practice location 2

8390 W Flagler St Ste 201
Miami, FL 33144-2039
Phone (305) 747-3846

Other identifiers 1

IdentifierTypeStateIssuer
117140000MedicaidFL

Other names 1

  • Corlina McNeil Solis Former name

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
I20140428001659 FL Practitioner - Nurse Practitioner 3274766282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida Atlantic University, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 Corporate Dr
Suite 100
Boynton Beach, FL 33426-6600

4072 Sandra LN
Palm Springs, FL 33406-6572

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
79.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9274792FLMDPrimary Care Clinic/Center
ARNP9274792FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation Current Accepting new patients
Inspired Health Partners LLC Gerontology Current Accepting new patients
AIDS Healthcare Foundation CurrentSince Jul 12, 2021 Accepting new patients
AIDS Healthcare Foundation CurrentSince Jul 12, 2021 Accepting new patients
Pophealthcare, LLC Primary Care Past Accepting new patients

Locations

1501 Corporate Dr
Ste 100
Boynton Beach, FL 33426
Phone (561) 299-5086

6333 N Federal Hwy
Ste 301302
Ft Lauderdale, FL 33308
Phone (954) 772-2411

3135 State Road 580
Ste 1
Safety Harbor, FL 34695
Phone (727) 259-2000

Organizations & group practices 5

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": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1982030276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 CORPORATE DR STE 100-S6",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266600",
            "telephone_number": "561-250-3595",
            "fax_number": "561-783-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CORPORATE DR STE 100-S6",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266600",
            "telephone_number": "561-250-3595",
            "fax_number": "561-783-2207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 E 25th St Ste 308",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330133824",
            "country_code": "US",
            "telephone_number": "786-567-5400",
            "fax_number": "786-567-5950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8390 W Flagler St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331442039",
            "country_code": "US",
            "telephone_number": "305-747-3846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CORLINA",
        "middle_name": "M",
        "credential": "AGPCNP-BC, AAHIVS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "9274792",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9274792",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9274792",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9274792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117140000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORLINA",
            "last_name": "MCNEIL SOLIS",
            "credential": "APCNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.