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MEDLYNE ST FORT ARNP
NPI 1043073661
Nurse Practitioner - Family in Boynton Beach, FL

Active since February 05, 2024PECOS EnrolledAccepts Medicare Assignment
4942 PURDUE DR, BOYNTON BEACH, FL 33436(561) 261-8399 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medlyne St Fort Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDLYNE ST FORT ARNP (NPI 1043073661) is an individual family provider in Boynton Beach, Florida, licensed in Florida (APRN11030947) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043073661
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEDLYNE ST FORTCredential: ARNP
Location Address4942 PURDUE DRBoynton Beach, FL 33436-7722
Mailing Address4942 Purdue DrBoynton Beach, FL 33436-7722 · (561) 261-8399
Phone(561) 261-8399
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 5, 2024
NPPES CertifiedJanuary 25, 2024
✔ NPI 1043073661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11030947
4942 PURDUE DR, Boynton Beach, FL 33436
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Medlyne St Fort Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901308352
PECOS Enrollment IDI20250905001874
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33436 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medlyne St Fort's NPI number?

The NPI number for Medlyne St Fort is 1043073661. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Medlyne St Fort located?

Medlyne St Fort practices at 4942 Purdue Dr, Boynton Beach, FL 33436. The listed phone number is (561) 261-8399.

What is Medlyne St Fort's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Medlyne St Fort enrolled in Medicare?

Yes. Medlyne St Fort is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Medlyne St Fort was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.