Individual provider Active NPI

Vicki Angela Lobracco, CRNA

  • Certified Registered Nurse Anesthetist
  • Palm City, FL
National Provider Identifier
1104890730
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP2574102 Issued in FL
Practice address
3541 SW Bimini Cir N
Palm City, FL 34990-1301
Phone
(786) 295-5520
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP2574102 FL Primary

Addresses

Primary practice location

3541 SW Bimini Cir N
Palm City, FL 34990-1301

Mailing address

3541 SW Bimini Cir N
Palm City, FL 34990-1301
Phone (786) 295-5520

Other identifiers 2

IdentifierTypeStateIssuer
306469700MedicaidFL
G3571OtherFLBCBS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000567 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072584440 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PBG Team Anesthesia PAGroup PAC ID 5092856757, 46 clinicians

Practice addresses (Care Compare)

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (800) 694-7225

Hospital & facility affiliations

  • Palm Beach Gardens Medical Center Hospital, Palm Beach Gardens, FL, CCN 100176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP2574102FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2015 Accepting new patients
Gulfstream Anesthesia Associates Inc CurrentSince Aug 1, 2017 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
PBG Team Anesthesia PA Nurse Anesthetist, Certified Registered CurrentSince Jul 3, 2012 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2015 Accepting new patients
Francisco Alvarez-Gil, M.D., P.a. Past Accepting new patients

Locations

1811 S 25th St
Fort Pierce, FL 34947
Phone (772) 466-4070

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

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 and National Provider Directory roles.

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1104890730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 SW BIMINI CIR N",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901301",
            "telephone_number": "786-295-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 SW BIMINI CIR N",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901301",
            "telephone_number": "786-295-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBRACCO",
        "first_name": "VICKI",
        "middle_name": "ANGELA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP2574102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306469700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "G3571",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.