FLORIDA ATLANTIC UNIVERSITY ALZHEIMER'S PREVENTION CLINIC
NPI 1053736405
Alzheimer Center (Dementia Center) in Boca Raton, FL
About Florida Atlantic University Alzheimer's Prevention Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FLORIDA ATLANTIC UNIVERSITY ALZHEIMER'S PREVENTION CLINIC (NPI 1053736405) is a healthcare organization registered as an alzheimer center (dementia center) in Boca Raton, Florida and active in the NPI registry since February 2014. The organization holds 2 active CLIA laboratory certificates and lists Louisa Pontiroli-kelly, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Florida Atlantic University Alzheimer's Prevention Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Florida Atlantic University Alzheimer's Prevention Clinic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 28Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2195511
Florida Atlantic University · Boca Raton, FLCertificate of Waiver 10D2171150
Florida Atlantic University-College Of Medicine · Boca Raton, FLFrequently 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 Florida Atlantic University's NPI number?
The NPI number for Florida Atlantic University is 1053736405. It was assigned to this organization in the NPPES registry on February 21, 2014. The provider is doing business as Florida Atlantic University Alzheimer's Prevention Clinic.
Where is Florida Atlantic University located?
Florida Atlantic University is located at 777 Glades Rd Office Building 1, Boca Raton, FL 33431. The listed phone number is (561) 566-5328.
What is Florida Atlantic University's specialty?
The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.
Is Florida Atlantic University enrolled in Medicare?
Yes. Florida Atlantic University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Florida Atlantic University?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 8 Medicare specialties reassign their Medicare billing to Florida Atlantic University. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (12), Internal Medicine (6) and Family Practice (4). Of these, 4 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Florida Atlantic University hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Florida Atlantic University accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Atlantic University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Florida Atlantic University was last updated on April 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Florida Atlantic University Alzheimer's Prevention Clinic · NPI 1053736405
Alzheimer Center (Dementia Center) organization in Boca Raton, Florida. Organization record, active in the CMS NPPES registry since February 21, 2014.
## Identity
- **NPI:** 1053736405 (Entity type: Organization)
- **Enumerated:** February 21, 2014
- **Primary specialty:** Alzheimer Center (Dementia Center) · taxonomy 311500000X
- **Legal business name:** Florida Atlantic University
- **Organization subpart:** No
- **Authorized official:** Louisa Pontiroli-Kelly, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 777 GLADES RD, OFFICE BUILDING 1, Boca Raton, FL 33431-6496
- **Phone:** (561) 566-5328 · **Fax:** (561) 299-4220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 28 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Internal Medicine (6), Family Practice (4); 4 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1053736405/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2023
- **Other identifiers:** Other 0000000 (FL)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053736405) · Data from the CMS NPPES public registry.