Individual provider Active NPI

Jannet Vergara, ARNP

  • Family Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1093839128
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1949532 Issued in FL
Practice address
267 Cypress Trce
Royal Palm Beach, FL 33411-4709
Phone
(561) 775-6455
Fax
(561) 775-6456
NPI assigned
Mar 16, 2007
Last updated
Aug 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1949532 FL Primary

Addresses

Primary practice location

267 Cypress Trce
Royal Palm Beach, FL 33411-4709

Mailing address

267 Cypress Trce
Royal Palm Beach, FL 33411-4709
Phone (561) 775-6455

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071130000550 FL Practitioner - Nurse Practitioner 4981793767 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Physician Services of Florida PAGroup PAC ID 7012201965, 212 clinicians

Practice addresses (Care Compare)

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 882-2878

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1949532FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Palm Beach Physician Group Inc CurrentSince Sep 17, 2014 Accepting new patients
Hospital Physician Services of Florida PA CurrentSince Jun 1, 2022 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Aug 1, 2016 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Aug 1, 2016 Accepting new patients
Incare Medical Services Past Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

9960 Central Park Blvd N
Ste 400
Boca Raton, FL 33428
Phone (561) 470-5437

3650 NW 82nd Ave
Ste 502
Doral, FL 33166
Phone (305) 594-9333

6414 13th Rd S
Greenacres, FL 33415
Phone (561) 478-9900

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1093839128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 CYPRESS TRCE",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114709",
            "telephone_number": "561-775-6455",
            "fax_number": "561-775-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 CYPRESS TRCE",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114709",
            "telephone_number": "561-775-6455",
            "fax_number": "561-775-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "JANNET",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1949532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.