Pcp 1st
NPI 1710515564ActiveOrganization· Nurse Practitioner· Boca Raton, FL
Nurse Practitioner in Boca Raton, Florida, registered in NPPES in March 2020. The authorized official on file is Yeeny Gonzalez, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710515564 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2020 |
| Last updated in NPPES | Mar 28, 2020 |
| Certified by provider | Mar 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Nurse Practitioner providers in Boca Raton
- 1437937877
- 1831799790
- 1386558013
- 1295934602
- 1891206041
- 1922753508
- 1417485053
- 1295062123
- 1982970117
- 1932918851
- 1366207250
- 1457318370