Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669003711 Individual Practitioner Male Practitioner

Kurt Mervin Ellison , LPN

Licensed Practical Nurse • West Palm Beach, FL

Professional Overview & Biography Verified Profile Summary

Kurt Ellison, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in West Palm Beach, FL. Practice services are available at 1639 FORUM PL STE 7 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1639 Forum Pl Ste 7

West Palm Beach, FL 334012330

Telephone 5617128821
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in West Palm Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
50 Specialists

Practicing in West Palm Beach, FL (1995 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-28
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL PN5222714

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Mouvielle Caro Gracia , MD

Psychiatry & Neurology - Psychiatry

NPI 1003932229

Doctor of Medicine (M.D.)

Roselyn Portnoff , MA

Counselor - Mental Health

NPI 1013175785

Master of Arts

NPI 1013175967

Master of Social Work

Nisha Bagaloo

Counselor - Mental Health

NPI 1013344688
Paul Litersky , LMHC

Counselor - Mental Health

NPI 1023275062

Licensed Mental Health Counselor

Deniele Degryse , LMHC

Counselor - Mental Health

NPI 1023276094

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2020

Registered at 1639 FORUM PL STE 7, WEST PALM BEACH, FL 334012330 (Tel: 5617128821)

📍
Updated Business Mailing Address January 28, 2020

Registered at 7295 SE CRAIG ST, HOBE SOUND, FL 334556114 (Tel: 5705063157)

👤
Provider Name / Credentials Updated January 28, 2020

Recorded as KURT ELLISON, LPN.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2020

Licensed Practical Nurse (License #PN5222714 in FL)

🟢
Initial NPI Registration & Enumeration January 28, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669003711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2020
Last Update: January 28, 2020
Sole Proprietor: Yes

Mailing Address

7295 Se Craig St

Hobe Sound, FL 334556114

Phone: 5705063157

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.