Active NPI
John A Pullaro II, NP-C
- Family Nurse Practitioner
- Labelle, FL
National Provider Identifier
1265004022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11013251
- Practice address
- 450 S Main St
Labelle, FL 33935-4629 - Phone
- (863) 675-2356
- NPI assigned
- Jul 12, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11013251 | FL | Primary |
Addresses
Primary practice location
450 S Main St
Labelle, FL 33935-4629
Mailing address
405 S. Main St
St 1
Labelle, FL 33935-6364
Phone (873) 675-2356
Other practice location 1
841 Niles St
Fort Denaud, FL 33935-6364
Phone (813) 833-8715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112249300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jpullaro@hrmc.us | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
450 S Main St
Labelle, FL 33935-4629
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendry County Hospital Authority | Current | Accepting new patients | |
| Hendry County Hospital Authority | Current | Accepting new patients | |
| Hendry County Hospital Authority | Current | Accepting new patients |
Locations
500 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3032
524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984
450 S Main St
Labelle, FL 33935
Phone (239) 482-5399
450 S Main St
Ste 1
Labelle, FL 33935
Phone (863) 675-2356
Interoperability endpoints
- jpullaro@hrmc.us
Organizations & group practices 3
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.
-
dba Hendry Regional Physicians Group
- Specialist
- Clewiston, FL
- NPI 1356360424
-
dba Hendry Regional Outpatient Pharmacy
- Community/Retail Pharmacy
- Clewiston, FL
- NPI 1336937408
-
dba Hendry Regional Convenient Care Center
- Rural Health Clinic/Center
- Labelle, FL
- NPI 1588859623
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hendry Regional Medical Center
- Critical Access Hospital
- Clewiston, FL
- NPI 1215960315
-
dba Preferred Care Home Health Services
- Home Health Agency
- Fort Myers, FL
- NPI 1245409010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1265004022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 S. MAIN ST",
"address_2": "ST 1",
"city": "LABELLE",
"state": "FL",
"postal_code": "339356364",
"telephone_number": "873-675-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 S MAIN ST",
"city": "LABELLE",
"state": "FL",
"postal_code": "339354629",
"telephone_number": "863-675-2356"
}
],
"practiceLocations": [
{
"address_1": "841 Niles St",
"address_purpose": "LOCATION",
"city": "Fort Denaud",
"state": "FL",
"postal_code": "339356364",
"country_code": "US",
"telephone_number": "813-833-8715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PULLARO",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-12",
"last_updated": "2022-03-21",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11013251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112249300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jpullaro@hrmc.us",
"affiliation": "N",
"endpointDescription": "Practice email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "450 S Main St",
"city": "LaBelle",
"state": "FL",
"country_code": "US",
"postal_code": "339354629",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Labelle, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.