Individual provider Active NPI

Macresia Ann Braziel, APRN

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1124493432
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9221830 Issued in FL
Practice address
777 37TH St Ste C107
Vero Beach, FL 32960-7301
Phone
(772) 562-3234
Fax
(772) 562-3236
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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 9221830 FL Primary

Addresses

Primary practice location

777 37TH St Ste C107
Vero Beach, FL 32960-7301

Mailing address

777 37TH St Ste C107
Vero Beach, FL 32960-7301
Phone (772) 562-3234

Other names 1

  • Macresia Ann Harvey Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbraziel@verorenal.com

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
I20170123001700 FL Practitioner - Nurse Practitioner 8628350865 Reassigns benefits to 3 organizations

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
Florida Community Health Centers IncGroup PAC ID 9931017126, shared by 15 NPIs, 32 clinicians

Practice addresses (Care Compare)

1505 Delaware Ave
Fort Pierce, FL 34950-3975
Phone (772) 461-1402

3090 Ave G
Fort Pierce, FL 34947
Phone (772) 448-8496

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9221830FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Oct 19, 2016 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers, Inc. CurrentSince May 5, 2023 Accepting new patients
Florida Community Health Centers Inc Current Accepting new patients
Florida Community Health Centers, Inc. CurrentSince May 5, 2023 Accepting new patients
Florida Community Health Centers Inc CurrentSince May 5, 2023 Accepting new patients
Indian River Health Services Inc CurrentSince Oct 19, 2016 Accepting new patients
Florida Community Health Centers, Inc. Past Accepting new patients
Florida Community Health Centers, Inc. Past Accepting new patients

Locations

315 S W C Owen Ave
Clewiston, FL 33440
Phone (561) 996-9573

714 Avenue C
Fort Pierce, FL 34950
Phone (772) 429-3400

1505 Delaware Ave
Fort Pierce, FL 34950
Phone (772) 461-1140

3090 Avenue G
Ste A
Fort Pierce, FL 34947

15858 SW Warfield Blvd
Indiantown, FL 34956
Phone (772) 597-3596

1021 Health Park Dr
Moore Haven, FL 33471
Phone (863) 946-0405

1100 N Parrott Ave
Okeechobee, FL 34972
Phone (863) 763-1951

9576 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 337-4000

3235 SW Port St Lucie Blvd
Ste 105
Port St Lucie, FL 34953
Phone (772) 408-5063

3441 SE Willoughby Blvd
Stuart, FL 34994
Phone (772) 221-4000

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

3450 11th Ct
Ste 305A
Vero Beach, FL 32960
Phone (772) 794-1444

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: macresia.braziel.1@14865.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1124493432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 37TH ST STE C107",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607301",
            "telephone_number": "772-562-3234",
            "fax_number": "772-562-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH ST STE C107",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607301",
            "telephone_number": "772-562-3234",
            "fax_number": "772-562-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZIEL",
        "first_name": "MACRESIA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9221830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbraziel@verorenal.com",
            "affiliation": "N",
            "address_1": "777 37th St Ste C107",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329607301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MACRESIA",
            "last_name": "HARVEY",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.