Patricia Ann Barranca
Individual provider Active NPI Family Nurse Practitioner · Lady Lake, FL
NPI 1033786397 · NPPES record last updated Feb 14, 2022
Key facts
- NPI
- 1033786397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11013055 (FL)
- Practice address
- 13940 N US Highway 441
Suite 200
Lady Lake, FL 32159-8909 - Phone
- (352) 877-3111
- NPI assigned
- Jun 7, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dr Luisa Vega DNP LLC
Practice addresses (Care Compare)
1044 E Brandon Blvd
Suite 1And2
Brandon, FL 33511-5509
Phone (813) 403-4423
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230712002531 | FL | Practitioner - Nurse Practitioner | 9931569787 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11013055 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Luisa Vega DNP LLC | Current |
Accepting new patients |
Locations
1044 E Brandon Blvd
Ste 12
Brandon, FL 33511
Phone (813) 403-4423
525 Technology Park
Lake Mary, FL 32746
Phone (407) 347-4331
525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11013055 | FL | Yes |
Addresses
Primary practice location
13940 N US Highway 441
Suite 200
Lady Lake, FL 32159-8909
Mailing address
13940 N US Highway 441
Lady Lake, FL 32159-8908
Phone (352) 877-3111
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.betterhumans.org |
Other providers in Lady Lake, FL
- Susan Vashare Bailey
- Thomas Kevin Bailey
- Kissonie Sanshia McDonald Bair
- Juan Martin Romero Balboa
- Sammie Shariff Barnes Jr.
- Maury Glenn Barrett
- Being Healthy LLC
- David Patrick Bell
- Megan Ashleen Benoit
- Lawrence Bruce Berk
All providers in Lady Lake, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.