Active NPI
Maryellen Neal, ARNP
- Primary Care Nurse Practitioner
- Gulf Breeze, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 1704722
- Practice address
- 1354 Country Club Rd
Gulf Breeze, FL 32563-3471 - Phone
- (850) 916-1636
- Fax
- (850) 916-1350
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1704722 | FL | Primary |
Addresses
Primary practice location
1354 Country Club Rd
Gulf Breeze, FL 32563-3471
Mailing address
2896 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3146
Phone (850) 932-2203
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, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2896 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3146
Phone (448) 227-5499
9400 University Pkwy
Pensacola, FL 32514-5485
Hospital & facility affiliations
- Peoples Home Health LLC
- Baptist Home Health Care
- Baptist Hospital
- Gulf Breeze Hospital
- Sacred Heart Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.01 of 100
- Quality
- 62.34
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1704722 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Medical Group LLC | Current | Accepting new patients | |
| Baptist Medical Group LLC | Current | Accepting new patients |
Locations
2896 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 932-2203
9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Pensacola, FL
- NPI 1376779892
-
- Orthopaedic Surgery Physician
- Pensacola, FL
- NPI 1629749692
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
- Home Health Agency
- Pensacola, FL
- NPI 1124337894
-
- Home Health Agency
- Pensacola, FL
- NPI 1801931837
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1508838616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2896 GULF BREEZE PKWY",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325633146",
"telephone_number": "850-932-2203",
"fax_number": "850-934-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1354 COUNTRY CLUB RD",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325633471",
"telephone_number": "850-916-1636",
"fax_number": "850-916-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "MARYELLEN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "1704722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.