Individual provider Active NPI

Vera E Brecken-Marquis, ARNP

  • Family Nurse Practitioner
  • Chiefland, FL
National Provider Identifier
1235586231
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9256439 Issued in FL
Practice address
1315 NW 21St Ave
Chiefland, FL 32626-1978
Phone
(352) 490-5100
Fax
(352) 490-5103
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
No

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.

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
I20161007001301 FL Practitioner - Nurse Practitioner 7012205974 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Aug 15, 2016 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Aug 15, 2016 Accepting new patients
Simedhealth LLC CurrentSince Apr 1, 2020 Accepting new patients
Simed Health LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

1315 NW 21st Ave
Chiefland, FL 32626
Phone (352) 493-2999

2000 SW Archer Rd
Fl 4
Gainesville, FL 32608
Phone (352) 265-7080

4343 Newberry Rd
Gainesville, FL 32607
Phone (352) 224-2200

4881 NW 8th Ave
Ste 2
Gainesville, FL 32605
Phone (352) 373-6338

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9256439 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1315 NW 21St Ave
Chiefland, FL 32626-1978

Mailing address

4881 NW 8TH Ave
Suite 2
Gainesville, FL 32605-4582
Phone (352) 416-1082

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
ARNP9256439OtherFLBOARD OF HEALTH
RN9256439OtherFLFLORIDA BOARD OF HEALTH
018470300MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2020.

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1235586231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 NW 8TH AVE",
            "address_2": "SUITE 2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054582",
            "telephone_number": "352-416-1082",
            "fax_number": "352-373-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 NW 21ST AVE",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261978",
            "telephone_number": "352-490-5100",
            "fax_number": "352-490-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECKEN-MARQUIS",
        "first_name": "VERA",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9256439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF HEALTH",
            "identifier": "ARNP9256439",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD OF HEALTH",
            "identifier": "RN9256439",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018470300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

Verify at the official NPI Registry.