Dane Elleson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11026840 Issued in FL

Practice address

3100 Weston Rd
Weston, FL 33331-3602

Phone

(954) 689-5000

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Genesis Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boynton Beach, FL
  • NPI 1447578125
  Medicare reassignment NPD
• Genesis Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Boca Raton, FL
  • NPI 1073982831
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1982487187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 NW 34TH ST",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330638040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WESTON RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313602",
            "telephone_number": "954-689-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLESON",
        "first_name": "DANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11026840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Bolski DDS LLC
• Elite Chiropractic, P.a.
• Elite Ivf Solutions
• Elite Mobil Diagnostics, Inc.
• Elite Surgical Institute LLC
• Elliot Cintron Enterprises PA (Weston Chiropractic Center)
• Fedricka Adriana Ellis, RBT
• Hossam Elzawawy, MD
• Empowering Little Minds Inc
• Randee Goldstein Engelhard, M.P.T

• Family Nurse Practitioner in Weston, FL
• Providers in Weston, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.