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SUSEL SANCHEZ FROMETA APRN
NPI 1194502518
Nurse Practitioner - Family in Boynton Beach, FL

Active since September 11, 2023PECOS EnrolledAccepts Medicare Assignment
7270 W BOYNTON BEACH BLVD STE B1, BOYNTON BEACH, FL 33437(561) 738-5772(561) 738-0096 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2024, Nov 3, 2023, Oct 16, 2023 (3 updates tracked since 2023).

About Susel Sanchez Frometa Aprn NPPES

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

SUSEL SANCHEZ FROMETA APRN (NPI 1194502518) is an individual family provider in Boynton Beach, Florida, licensed in Florida (APRN11027863) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1194502518
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSEL SANCHEZ FROMETACredential: APRN
Location Address7270 W BOYNTON BEACH BLVD STE B1Boynton Beach, FL 33437-3805
Mailing Address9500 S Dadeland Blvd Ste 200Miami, FL 33156-2866 · (786) 530-3820 · Fax (350) 675-3378
Phone(561) 738-5772
Fax(561) 738-0096
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 11, 2023
Last NPPES UpdateAugust 27, 20253 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1194502518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11027863
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN11027863 (FL)
7270 W BOYNTON BEACH BLVD STE B1, Boynton Beach, FL 33437
Open in Google Maps ↗

Secondary Practice Location 1

Location 1625 6th Ave S Ste 430St Petersburg, FL 33701-4629 · Phone (727) 553-7273 · Fax (727) 553-7275

Other Identifiers 1

Medicaid119912800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susel Sanchez Frometa Aprn 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 ID2365897295
PECOS Enrollment IDI20231013000129
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Susel Sanchez Frometa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastro Health, LLC
36 mi
Gastroenterology
12251 TAFT ST STE 401
Pembroke Pines, FL 33026
  • Reassigned Medicare billing, Florida enrollment
  • 325 clinicians in this Medicare group
NPI 1457026932 (954) 433-5900
Ohi West Medical Group, LLC
175 mi
Cardiovascular Disease
701 6TH ST S
St Petersburg, FL 33701
  • Reassigned Medicare billing, Florida enrollment
  • 269 clinicians in this Medicare group
NPI 1518572551 (727) 823-1234
Dermatech Mobile Care LLC
189 mi
Geriatric Medicine
28059 US HIGHWAY 19 N STE 205
Clearwater, FL 33761
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1427947209 (310) 547-7501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

West Boca Medical Center

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100268
Location21644 State Rd 7Boca Raton, FL 33428 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33437 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SABRINA KATZ PA-C
Physician Assistant
7270 W BOYNTON BEACH BLVD STE B1
BOYNTON BEACH, FL 33437
Palm Beach County (561) 738-5772
ERIKA JAMIE HAWES APRN
Nurse Practitioner (Adult Health)
7270 W BOYNTON BEACH BLVD STE B1
BOYNTON BEACH, FL 33437
Palm Beach County (561) 738-5772
ANDREA ERICKSON PA
Physician Assistant
7270 W BOYNTON BEACH BLVD STE B1
BOYNTON BEACH, FL 33437
Palm Beach County (561) 738-5772
GASTRO HEALTH, LLC
Internal Medicine (Gastroenterology)
7270 W BOYNTON BEACH BLVD STE B1
BOYNTON BEACH, FL 33437
Palm Beach County (561) 738-5772

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 Susel Sanchez Frometa's NPI number?

The NPI number for Susel Sanchez Frometa is 1194502518. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Susel Sanchez Frometa located?

Susel Sanchez Frometa practices at 7270 W Boynton Beach Blvd Ste B1, Boynton Beach, FL 33437. The listed phone number is (561) 738-5772.

What is Susel Sanchez Frometa's specialty?

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

Is Susel Sanchez Frometa enrolled in Medicare?

Yes. Susel Sanchez Frometa 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.

Which organizations bill Medicare for Susel Sanchez Frometa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susel Sanchez Frometa reassigns Medicare benefits to 3 organizations: Gastro Health, LLC (Pembroke Pines, FL), Ohi West Medical Group, LLC (St Petersburg, FL) and Dermatech Mobile Care LLC (Clearwater, FL). Each 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 Susel Sanchez Frometa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susel Sanchez Frometa accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Cigna HealthCare of Florida, Inc. and 2 other insurers list Susel Sanchez Frometa 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.

Is Susel Sanchez Frometa affiliated with any hospitals?

According to CMS data, Susel Sanchez Frometa is affiliated with Boca Raton Regional Hospital and West Boca Medical Center.

When was this NPI record last updated?

The NPPES record for Susel Sanchez Frometa was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.