Individual provider Active NPI

Peggy B Brigance, FNP

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1184844409
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN19795APRN Issued in SC
Practice address
4995 S US Highway 1
Fort Pierce, FL 34982-7079
Phone
(772) 465-3225
Fax
(479) 494-7787
NPI assigned
Apr 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ATP000064 AR
Family Nurse Practitioner 363LF0000X APN19795APRN SC Primary
Family Nurse Practitioner 363LF0000X ARNP9406424 FL

Addresses

Primary practice location

4995 S US Highway 1
Fort Pierce, FL 34982-7079

Mailing address

112 Surgical Blvd
Ste a
Seneca, SC 29672-6654
Phone (772) 465-3225

Other identifiers 2

IdentifierTypeStateIssuer
200111100AMedicaidOK
164989758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160511000228 FL Practitioner - Nurse Practitioner 2062513245 Reassigns benefits to 1 organization
I20210624000248 SC Practitioner - Nurse Practitioner 2062513245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oconee Surgery PAGroup PAC ID 2466641501, 2 clinicians

Practice addresses (Care Compare)

112 Surgical Blvd a
Seneca, SC 29672-6654
Phone (864) 885-0608

Hospital & facility affiliations

  • Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ATP000064ARMDFamily Nurse Practitioner
APN19795APRNSCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oconee Surgery, P.a. Family CurrentSince Mar 1, 2021 Accepting new patients
Maureen a Zelinka, MD, PA CurrentSince Mar 15, 2016 Accepting new patients
Fort Smith Hma, LLC Past Accepting new patients
Sparks Regional Medical Center Past Accepting new patients

Locations

4995 S US Highway 1
Fort Pierce, FL 34982
Phone (772) 439-6011

112 Surgical Blvd
#A
Seneca, SC 29672
Phone (864) 885-0608

Organizations & group practices 4

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 3

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1184844409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SURGICAL BLVD",
            "address_2": "STE A",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296726654",
            "telephone_number": "772-465-3225",
            "fax_number": "479-494-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4995 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827079",
            "telephone_number": "772-465-3225",
            "fax_number": "479-494-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGANCE",
        "first_name": "PEGGY",
        "middle_name": "B",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "ATP000064",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN19795APRN",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9406424",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200111100A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164989758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.