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CUSTOMIZED CARE MANAGEMENT SERVICES, LLC
NPI 1215397989
Nurse Practitioner in West Palm Beach, FL

Active since February 24, 2016
4121 PARKER AVE, WEST PALM BEACH, FL 33405(561) 460-2464 Get Directions Write a Review

NPPES record last updated: June 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2021, Aug 12, 2016, Feb 24, 2016 (3 updates tracked since 2016).

About Customized Care Management Services, Llc NPPES

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

CUSTOMIZED CARE MANAGEMENT SERVICES, LLC (NPI 1215397989) is a healthcare organization registered as a nurse practitioner in West Palm Beach, Florida and active in the NPI registry since February 2016. The organization lists Nerlyn Jestine, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215397989
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameCUSTOMIZED CARE MANAGEMENT SERVICES, LLC
Location Address4121 PARKER AVEWest Palm Beach, FL 33405-2507
Mailing Address4119 Parker AveWest Palm Beach, FL 33405-2507 · (561) 328-7527
Phone(561) 460-2464
Organization SubpartNo
Authorized OfficialNerlyn JestineCeo · (561) 328-7527
Enumeration DateFebruary 24, 2016
Last NPPES UpdateJune 12, 20213 updates tracked since enumeration
NPPES CertifiedJune 12, 2021
✔ NPI 1215397989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9227682
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedIn Home Supportive CareTaxonomy 253Z00000X
4121 PARKER AVE, West Palm Beach, FL 33405
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Other Identifiers 1

Medicaid017276500FL

Other Providers at the Same Location NPPES

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

NERLYN JESTINE ARNP
Nurse Practitioner (Family)
4121 PARKER AVE
WEST PALM BEACH, FL 33405
Palm Beach County (561) 460-2464

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 Customized Care Management Services, LLC's NPI number?

The NPI number for Customized Care Management Services, LLC is 1215397989. It was assigned to this organization in the NPPES registry on February 24, 2016.

Where is Customized Care Management Services, LLC located?

Customized Care Management Services, LLC is located at 4121 Parker Ave, West Palm Beach, FL 33405. The listed phone number is (561) 460-2464.

What is Customized Care Management Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Customized Care Management Services, LLC was last updated on June 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.