MODE MASSILLON NP
NPI 1083573802
Nurse Practitioner - Family in West Palm Beach, FL

Q: What is Mode Massillon's NPI number?

The NPI number for Mode Massillon is 1083573802. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Q: What is Mode Massillon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mode Massillon was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since January 19, 2026

15212 93RD ST N, WEST PALM BEACH, FL 33412(301) 672-8108 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mode Massillon Np NPPES

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

MODE MASSILLON NP (NPI 1083573802) is an individual family provider in West Palm Beach, Florida, licensed in Florida (F12250582) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1083573802

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMODE MASSILLONCredential: NP

Location Address15212 93RD ST NWest Palm Beach, FL 33412-1744

Mailing Address15212 93rd St NWest Palm Beach, FL 33412-1744 · (301) 672-8108

Phone(301) 672-8108

Sole ProprietorYes

Enumeration DateJanuary 19, 2026

NPPES CertifiedJanuary 18, 2026

✔ NPI 1083573802 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 · F12250582

15212 93RD ST N, West Palm Beach, FL 33412

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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 Mode Massillon's NPI number?

The NPI number for Mode Massillon is 1083573802. It was assigned to this individual provider in the NPPES registry on January 19, 2026.

Where is Mode Massillon located?

Mode Massillon practices at 15212 93rd St N, West Palm Beach, FL 33412. The listed phone number is (301) 672-8108.

What is Mode Massillon's specialty?

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

When was this NPI record last updated?

The NPPES record for Mode Massillon was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.