Charles F. Brinegar Jr., ARNP
Individual provider Active NPI Family Nurse Practitioner · Lecanto, FL
NPI 1174033435 · NPPES record last updated Feb 15, 2018
Key facts
- NPI
- 1174033435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP3143482 (FL)
- Practice address
- 1990 N Prospect Ave
Lecanto, FL 34461-9792 - Phone
- (352) 527-6888
- NPI assigned
- Oct 1, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of South Florida College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Internal Medicine and Pediatrics Wellness Center
Practice addresses (Care Compare)
6038 W Nordling Loop
Crystal River, FL 34429-8715
Phone (352) 563-5070
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180316002057 | FL | Practitioner - Nurse Practitioner | 7517229248 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3143482 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine & Pediatrics Wellness Center | Current |
Accepting new patients | |
| Quality Healthcare Services PLLC | Current |
Accepting new patients |
Locations
6038 W Nordling Loop
Crystal River, FL 34429
Phone (352) 563-5070
6026 W Nordling Loop
Crystal River, FL 34429
Phone (352) 354-4476
Interoperability endpoints
- https://api.platform.athenahealth.com/22703/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3143482 | FL | Yes |
Addresses
Primary practice location
1990 N Prospect Ave
Lecanto, FL 34461-9792
Mailing address
1990 N Prospect Ave
Lecanto, FL 34461-9792
Phone (352) 527-6888
Other providers in Lecanto, FL
- Brashears Vital Care Corp
- Megan Brecher
- Brentwood Health Care Associates LLC
- Brentwood Meadow Health Care Associates LLC
- Brentwoodmeadowhealthcareassodbabrentwood Retirement Community
- Tori Brock
- Druzele Browne-Brann
- Joshua Bryant
- Dennay Burgess
- Lailatullah Burgos
All providers in Lecanto, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.