Individual provider Active NPI

Allison Delores Brathwaite Delpesche, DNP

  • Family Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1417515321
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9170081 Issued in FL
Practice address
260 NW Peacock Blvd Ste 102
Port St Lucie, FL 34986-2349
Phone
(772) 878-7216
Fax
(772) 878-7218
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9170081 FL Primary

Addresses

Primary practice location

260 NW Peacock Blvd Ste 102
Port St Lucie, FL 34986-2349

Mailing address

138 Heritage Way
West Palm Beach, FL 33407-6861
Phone (561) 373-8027

Other practice location 1

138 Heritage Way
West Palm Beach, FL 33407-6861
Phone (561) 373-8027

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
I20210428002769 FL Practitioner - Nurse Practitioner 8921417114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Florida Psychiatry Associates LLCGroup PAC ID 0345404166, 6 clinicians

Practice addresses (Care Compare)

260 NW Peacock Blvd
Suite 102
Port Saint Lucie, FL 34986-2349
Phone (772) 878-7216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11003015FLMDFamily Nurse Practitioner
APRN9170081FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Sep 19, 2022 Accepting new patients
Florida Psychiatry Associates LLC CurrentSince Mar 15, 2025 Accepting new patients
MCR Health, Inc. Family CurrentSince Sep 19, 2022 Accepting new patients
Balanced Wellbeing LLC CurrentSince Jul 15, 2022 Accepting new patients

Locations

3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

260 NW Peacock Blvd
Ste 102
Port St Lucie, FL 34986
Phone (772) 878-7216

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1417515321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HERITAGE WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076861",
            "telephone_number": "561-373-8027",
            "fax_number": "772-878-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 NW PEACOCK BLVD STE 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862349",
            "telephone_number": "772-878-7216",
            "fax_number": "772-878-7218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Heritage Way",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334076861",
            "country_code": "US",
            "telephone_number": "561-373-8027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRATHWAITE DELPESCHE",
        "first_name": "ALLISON",
        "middle_name": "DELORES",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9170081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.