Individual provider Active NPI

Lucille Ann Vandevere, APRN, FNP-BC

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1174577365
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN3283142 Issued in FL
Practice address
1860 N Lawnwood Cir
Fort Pierce, FL 34950-4828
Phone
(772) 519-3005
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3283142 FL
Family Nurse Practitioner 363LF0000X APRN3283142 FL Primary

Addresses

Primary practice location

1860 N Lawnwood Cir
Fort Pierce, FL 34950-4828

Mailing address

PO Box 13300
Fort Pierce, FL 34979-3300
Phone (772) 252-4130

Other practice location 1

1155 35th Ln Ste 100-B
Vero Beach, FL 32960-6521
Phone (772) 770-6848

Other names 1

  • Mrs. Lu-Ann Vandevere Other name

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
I20040802001104 FL Practitioner - Nurse Practitioner 5395716633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broward Neurosurgeons LLCGroup PAC ID 8123096690, 21 clinicians

Practice addresses (Care Compare)

2402 Frist Blvd
Suite 201
Fort Pierce, FL 34950-4838
Phone (772) 252-6620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.86 of 100Reported as group
Quality
24.58
Promoting interoperability
100
Improvement activities
0
Cost
74.97

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Healthcare Associates,LLC Family Past Accepting new patients
Glidden Park Inpatient Services, LLC PastSince Sep 1, 2019 Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: lucille.vandevere@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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 4

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1174577365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13300",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349793300",
            "telephone_number": "772-252-4130",
            "fax_number": "772-672-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504828",
            "telephone_number": "772-519-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 35th Ln Ste 100-B",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606521",
            "country_code": "US",
            "telephone_number": "772-770-6848",
            "fax_number": "772-770-6849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEVERE",
        "first_name": "LUCILLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3283142",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN3283142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LU-ANN",
            "last_name": "VANDEVERE",
            "prefix": "MRS.",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.