Prohealth Select, Inc.
NPI 1417485053 · Nurse Practitioner · Boca Raton, FL
Prohealth Select, Inc. is a Nurse Practitioner organization in Boca Raton, FL (NPI 1417485053).
Provider details
- NPI number
- 1417485053
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nancy Bourg, Ceo(800) 488-0279
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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)
- Other name
- Prohealth Select, Inc
Registry dates
- Enumerated
- 2017-05-26
- Last updated
- 2022-07-21
- Certified
- 2020-09-22
Frequently asked questions
- What is Prohealth Select, Inc.'s NPI number?
- Prohealth Select, Inc.'s National Provider Identifier (NPI) is 1417485053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prohealth Select, Inc.?
- Prohealth Select, Inc. is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Prohealth Select, Inc. located?
- Prohealth Select, Inc.'s practice location on file with NPPES is 621 Nw 53rd St Ste 330, Boca Raton, FL 33487-8281.
- What is Prohealth Select, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Prohealth Select, Inc. is (800) 488-0279.
- Who is the authorized official for Prohealth Select, Inc.?
- The authorized official listed on Prohealth Select, Inc.'s NPPES record is Nancy Bourg, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prohealth Select, Inc.'s NPI active?
- Yes — Prohealth Select, Inc.'s NPI (1417485053) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.