Active NPI
Vera E Brecken-Marquis, ARNP
- Family Nurse Practitioner
- Chiefland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9256439
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Ocala, FL
- NPI 1609529478
-
- Community/Retail Pharmacy
- Gainesville, FL
- NPI 1376616698
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161007001301 | FL | Practitioner - Nurse Practitioner | 7012205974 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Simedhealth LLC | Current | Accepting new patients | |
| Simed Health LLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9256439 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| ARNP9256439 | Other | FL | BOARD OF HEALTH |
| RN9256439 | Other | FL | FLORIDA BOARD OF HEALTH |
| 018470300 | Medicaid | FL |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.