Active NPI
Brenda L. Hart, FNP-C, CRNP, CWON
- Family Nurse Practitioner
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN2963932
- Practice address
- 311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781 - Phone
- (386) 425-4267
- Fax
- (386) 425-4879
- NPI assigned
- Aug 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2963932 | FL | |
| Family Nurse Practitioner | 363LF0000X | 2963932 | FL | |
| Family Nurse Practitioner | 363LF0000X | AC002610 | MD | |
| Family Nurse Practitioner | 363LF0000X | APRN2963932 | FL | Primary |
Addresses
Primary practice location
311 N Clyde Morris Blvd
Daytona Beach, FL 32114-2781
Mailing address
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Other practice location 1
2001 Medical Pkwy Fl 1
Annapolis, MD 21401-3795
Phone (443) 481-5187
Other practice location 2
1041 Dunlawton Ave
Port Orange, FL 32127-7968
Phone (386) 425-2285
Other practice location 3
1244 Golden Canna Ln
Celebration, FL 34747-4009
Phone (813) 727-0415
Other practice location 4
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (941) 820-0053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805100 | Other | MD | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2040 Oakley Seaver Dr
Suite 200
Clermont, FL 34711-1962
Phone (855) 689-2102
Hospital & facility affiliations
- Angels Care Home Health
- Orlando Health South Lake Hospital
- Orlando Health St Cloud Hospital
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.45 of 100
- Quality
- 67.28
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.57
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2963932 | FL | MD | Family Nurse Practitioner |
| APRN2963932 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Wound Care of Florida LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Nautilus Health Care Group LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Nautilus Health Care Group, LLC | Current | Accepting new patients | |
| Halifax Healthcare Systems Inc | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Advanced Wound Systems LLC | Past | Accepting new patients |
Locations
2040 Oakley Seaver Dr
Ste 200
Clermont, FL 34711
Phone (352) 536-8788
151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515
311 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 241-1020
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185
1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410
1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700
1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480
2001 Medical Pkwy
Fl 1
Annapolis, MD 21401
Phone (443) 481-5187
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110
Interoperability endpoints
- bhart70174@direct.aahs.org
Organizations & group practices 8
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Melbourne, FL
- NPI 1912013558
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1811631591
-
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
- Clinical Neuropsychologist
- Annapolis, MD
- NPI 1114372497
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kokomo, IN
- NPI 1013234699
-
- Durable Medical Equipment & Medical Supplies
- St Petersburg, FL
- NPI 1508054271
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- Home Health Agency
- Clermont, FL
- NPI 1902864168
-
- General Acute Care Hospital
- Saint Cloud, FL
- NPI 1164478442
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1114472834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N CLYDE MORRIS BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321142781",
"telephone_number": "386-425-4267",
"fax_number": "386-425-4879"
}
],
"practiceLocations": [
{
"address_1": "2001 Medical Pkwy Fl 1",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214013795",
"country_code": "US",
"telephone_number": "443-481-5187",
"fax_number": "443-481-5198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1041 Dunlawton Ave",
"address_purpose": "LOCATION",
"city": "Port Orange",
"state": "FL",
"postal_code": "321277968",
"country_code": "US",
"telephone_number": "386-425-2285",
"fax_number": "386-425-7522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1244 Golden Canna Ln",
"address_purpose": "LOCATION",
"city": "Celebration",
"state": "FL",
"postal_code": "347474009",
"country_code": "US",
"telephone_number": "813-727-0415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 N Clyde Morris Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321142709",
"country_code": "US",
"telephone_number": "941-820-0053",
"fax_number": "941-748-8894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HART",
"first_name": "BRENDA",
"middle_name": "L.",
"credential": "FNP-C, CRNP, CWON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-23",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "2963932",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "2963932",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC002610",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN2963932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "805100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.