FLORIDA ATLANTIC UNIVERSITY
NPI 1164591954
Nurse Practitioner - Gerontology in Boca Raton, FL
About Florida Atlantic University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FLORIDA ATLANTIC UNIVERSITY (NPI 1164591954), doing business as Memory And Wellness Center, is a healthcare organization registered as a gerontology in Boca Raton, Florida and active in the NPI registry since November 2006. The organization lists Louisa Pontiroli-kelly, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 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 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, 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.
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 Florida Atlantic University's NPI number?
The NPI number for Florida Atlantic University is 1164591954. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Memory and Wellness Center.
Where is Florida Atlantic University located?
Florida Atlantic University is located at 777 Glades Rd Bldg Az-79, Boca Raton, FL 33431. The listed phone number is (561) 297-0502.
What is Florida Atlantic University's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
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.
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 December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Florida Atlantic University · NPI 1164591954
Gerontology organization in Boca Raton, Florida. Organization record, active in the CMS NPPES registry since November 7, 2006.
## Identity
- **NPI:** 1164591954 (Entity type: Organization)
- **Enumerated:** November 7, 2006
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Also known as:** Memory and Wellness Center (Doing Business As)
- **Organization subpart:** Yes (part of Florida Atlantic University)
- **Authorized official:** Louisa Pontiroli-Kelly, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 777 GLADES RD, BLDG AZ-79, Boca Raton, FL 33431-6424
- **Phone:** (561) 297-0502 · **Fax:** (561) 297-0505
## 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/1164591954/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164591954) · Data from the CMS NPPES public registry.