Individual provider Active NPI

Vernon Alvin Wright, PA-C

  • Physician Assistant
  • Fort Pierce, FL
National Provider Identifier
1235169665
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2905 Issued in FL
Practice address
2402 Frist Blvd Ste 204
Fort Pierce, FL 34950-4838
Phone
(772) 466-1113
Fax
(772) 466-1103
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2905 FL Primary

Addresses

Primary practice location

2402 Frist Blvd Ste 204
Fort Pierce, FL 34950-4838

Mailing address

2402 Frist Blvd Ste 204
Fort Pierce, FL 34950-4838
Phone (772) 466-1113

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VERNON.WRIGHT@hca4.eclinicaldirectplus.com

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
I20040405000144 FL Practitioner - Physician Assistant 1052303666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Pierce Orthopaedics LLCGroup PAC ID 2062515018, 19 clinicians

Practice addresses (Care Compare)

1700 S 23Rd St
HCA Florida Lawnwood Hospital
Fort Pierce, FL 34950-4803
Phone (772) 461-4000

2402 Frist Blvd
Fort Pierce, FL 34950-4838

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2905FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Assisting Services, Inc. Physician Assistant Past Accepting new patients
Mark J Powers MD PA Florida Orthopaedic Specialists Past Accepting new patients
Coastal Orthopaedics & Sports Medicine Center Past Accepting new patients
Peter R Aldana MD PA Past Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: vernon.wright@hca4.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1235169665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 FRIST BLVD STE 204",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504838",
            "telephone_number": "772-466-1113",
            "fax_number": "772-466-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 FRIST BLVD STE 204",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504838",
            "telephone_number": "772-466-1113",
            "fax_number": "772-466-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "VERNON",
        "middle_name": "ALVIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VERNON.WRIGHT@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2402 Frist Blvd Ste 204",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349504838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.