Active NPI
Robert Jason Epperson
- Family Nurse Practitioner
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11013999
- Practice address
- 4801 NW Gimlet Ave
Port Saint Lucie, FL 34983-1336 - Phone
- (407) 729-4835
- NPI assigned
- Apr 20, 2022
- 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 | 11013999 | FL | Primary |
Addresses
Primary practice location
4801 NW Gimlet Ave
Port Saint Lucie, FL 34983-1336
Mailing address
4801 NW Gimlet Ave
Port Saint Lucie, FL 34983-1336
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1840 SE Port St Lucie Blvd
Suite 1840
Port St Lucie, FL 34952-5545
Phone (772) 221-7620
Hospital & facility affiliations
- Trilogy Home Healthcare
- Concierge Home Care
- Elite Home Health Group Inc
- Community Home Health Services
- Anchor Home Health Services, LLC
- Cleveland Clinic Martin North Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013999 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Medical Operating Company LLC | Current | Accepting new patients |
Locations
4655 Salisbury Rd
Ste 110
Jacksonville, FL 32256
Phone (904) 570-9404
1840 SE Port St Lucie Blvd
Ste 1840
Port St Lucie, FL 34952
Phone (772) 221-7620
Organizations & group practices 1
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.
-
- General Practice Physician
- Port St Lucie, FL
- NPI 1245983022
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1831365253
-
- Home Health Agency
- Sewalls Point, FL
- NPI 1174665293
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1184222549
-
- Home Health Agency
- Boca Raton, FL
- NPI 1578954335
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Home Health Agency
- Lake Worth, FL
- NPI 1386697936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1417690132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 NW GIMLET AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349831336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 NW GIMLET AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349831336",
"telephone_number": "407-729-4835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "ROBERT",
"middle_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11013999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.