Active NPI
Brian Emerson, NP-C
- Family Nurse Practitioner
- Saint Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F03180173
- Practice address
- 1 Orthopaedic PL
Saint Augustine, FL 32086-4202 - Phone
- (904) 825-0540
- Fax
- (904) 825-2490
- NPI assigned
- Mar 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F03180173 | FL | Primary |
Addresses
Primary practice location
1 Orthopaedic PL
Saint Augustine, FL 32086-4202
Mailing address
1 Orthopaedic PL
Saint Augustine, FL 32086-4202
Phone (904) 825-0540
Other practice location 1
915 W Monroe St Ste 200
Jacksonville, FL 32204
Phone (904) 384-2240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JJ982Y | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
10475 Centurion Pkwy N
Suite 220
Jacksonville, FL 32256-5004
Phone (904) 634-0640
1200 Lexington Green LN
Sanford, FL 32771-1013
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.75 of 100
- Quality
- 88.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F03180173 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients | |
| Southeast Orthopedic Specialists, LLC | Current | Accepting new patients | |
| Center for Orthopedic Research and Education, LLC | Past | Accepting new patients |
Locations
6800 Southpoint Pkwy
Ste 300
Jacksonville, FL 32216
10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014
216 Southpark Cir E
Ste 216
St Augustine, FL 32086
Phone (904) 634-0203
45 Groover Loop
Unit 201
St Augustine, FL 32086
Phone (904) 634-0604
1690 US Highway 1 S
Ste F
St Augustine Beach, FL 32084
Phone (904) 634-0460
3055 County Road 210 W
Ste 110
St Johns, FL 32259
Phone (904) 825-0540
Interoperability endpoints
- brian.emerson.1@22724.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1629025820
-
- Durable Medical Equipment & Medical Supplies
- St Johns, FL
- NPI 1538952379
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- General Acute Care Hospital
- St. Johns, FL
- NPI 1861078651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1093218968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ORTHOPAEDIC PL",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320864202",
"telephone_number": "904-825-0540",
"fax_number": "904-825-2490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ORTHOPAEDIC PL",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320864202",
"telephone_number": "904-825-0540",
"fax_number": "904-825-2490"
}
],
"practiceLocations": [
{
"address_1": "915 W Monroe St Ste 200",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32204",
"country_code": "US",
"telephone_number": "904-384-2240",
"fax_number": "904-486-2314",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMERSON",
"first_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-16",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "F03180173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "JJ982Y",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Augustine, FL
- Catherine Elizabeth Elliott, APRN CNM
- Patricia Elvir, M.D.
- Emergency Medicine Professionals PA
- Emergency Physicians Inc
- Emergency Physicians of St. Johns County
- Emmanuel Lagoutaris, DPM, LLC
- Empath Behavioral Consulting, LLC
- Empower Sports Medicine
- Mayralis Enamorado, MD
- Encompass Health Rehabilitation Hospital of St. Augustine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.