Individual provider Active NPI

Barbie Brunet, ARNP

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1174965438
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9302648 Issued in FL
Practice address
2504 Acorn St Ste a
Fort Pierce, FL 34947-4746
Phone
(772) 837-7800
Fax
(772) 837-7801
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9302648 FL
Family Nurse Practitioner 363LF0000X ARNP9302648 FL Primary
Primary Care Nurse Practitioner 363LP2300X ARNP9302648 FL

Addresses

Primary practice location

2504 Acorn St Ste a
Fort Pierce, FL 34947-4746

Mailing address

2504 Acorn St Ste a
Fort Pierce, FL 34947-4746
Phone (772) 837-7800

Other identifiers 1

IdentifierTypeStateIssuer
104145500MedicaidFL

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
I20201111001235 FL Practitioner - Nurse Practitioner 3577973189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2504 Acorn St
Suite a
Fort Pierce, FL 34947-4746
Phone (772) 837-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9302648FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Wellness Center LLC Primary Care CurrentSince May 28, 2020 Accepting new patients
Cornerstone Pediatrics Past Accepting new patients
Pediatrica Health of Florida, LLC Past Accepting new patients

Locations

2504 Acorn St
Ste A
Fort Pierce, FL 34947
Phone (772) 466-1112

Interoperability endpoints

  • Direct secure messaging: barbie.brunet@874656927252484.direct.elationemr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1174965438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 ACORN ST STE A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474746",
            "telephone_number": "772-837-7800",
            "fax_number": "772-837-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 ACORN ST STE A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474746",
            "telephone_number": "772-837-7800",
            "fax_number": "772-837-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNET",
        "first_name": "BARBIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9302648",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9302648",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9302648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104145500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.