Active NPI
Peggy B Brigance, FNP
- Family Nurse Practitioner
- Fort Pierce, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN19795APRN
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200111100A | Medicaid | OK | |
| 164989758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
Practice addresses (Care Compare)
112 Surgical Blvd a
Seneca, SC 29672-6654
Phone (864) 885-0608
Hospital & facility affiliations
- Prisma Health Oconee Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP000064 | AR | MD | Family Nurse Practitioner |
| APN19795APRN | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconee Surgery, P.a. | Family | Current | Accepting new patients |
| Maureen a Zelinka, MD, PA | Current | 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.
-
- Internal Medicine Physician
- Fort Pierce, FL
- NPI 1740397686
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1578555736
-
- Skilled Nursing Facility
- Fort Smith, AR
- NPI 1992916308
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seneca, SC
- NPI 1063968196
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.