Florida Atlantic University
NPI 1164591954 · Gerontology Nurse Practitioner · Boca Raton, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Florida Atlantic University is a Gerontology Nurse Practitioner organization in Boca Raton, FL (NPI 1164591954).
Provider details
- NPI number
- 1164591954
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Florida Atlantic University
- Organization subpart
- Yes
- Authorized official
- Louisa Pontiroli-Kelly, Authorized Official(561) 297-2897
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Memory and Wellness Center
- Doing business as
- Memory and Wellness Center
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Frequently asked questions
- What is Florida Atlantic University's NPI number?
- Florida Atlantic University's National Provider Identifier (NPI) is 1164591954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Florida Atlantic University?
- Florida Atlantic University is classified in the NPPES registry as Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Florida Atlantic University located?
- Florida Atlantic University's practice location on file with NPPES is 777 Glades Rd, Boca Raton, FL 33431-6424.
- What is Florida Atlantic University's phone number?
- The practice phone number listed in the NPPES registry for Florida Atlantic University is (561) 297-0502.
- Does Florida Atlantic University accept Medicare?
- Florida Atlantic University is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Florida Atlantic University?
- The authorized official listed on Florida Atlantic University's NPPES record is Louisa Pontiroli-Kelly, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Florida Atlantic University's NPI active?
- Yes — Florida Atlantic University's NPI (1164591954) is active in the NPPES registry as of the last update on 2025-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.