Individual provider Active NPI

Richard Pectol, NP-C

  • Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1548466303
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2986442 Issued in FL
Practice address
7000 Spyglass CT Ste 310
Melbourne, FL 32940
Phone
(321) 735-6218
NPI assigned
Jun 26, 2007
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2986442 FL Primary
Primary Care Nurse Practitioner 363LP2300X ARNP 2986442 FL
Critical Care Medicine Registered Nurse 163WC0200X 2986442 FL

Addresses

Primary practice location

7000 Spyglass CT Ste 310
Melbourne, FL 32940

Mailing address

504 N Reo St
Tampa, FL 33609-1013
Phone (813) 549-2134

Other identifiers 1

IdentifierTypeStateIssuer
ARNP 2986442OtherFLSTATE LICENSE NUMBER

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
I20150604002786 FL Practitioner - Nurse Practitioner 3971824772 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2986442FLMDCritical Care Medicine Registered Nurse
ARNP2986442FLMDNurse Practitioner
ARNP 2986442FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Aug 24, 2018 Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
Florida Pain Relief Group PLLC Nurse Practitioner CurrentSince Nov 4, 2019 Accepting new patients
Florida Pain and Rehabilitation Associates Inc CurrentSince Aug 24, 2018 Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
Physician Partners of America Crna Operations LLC PastSince Jul 26, 2018 Accepting new patients

Locations

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

5365 Atlantic Ave
Ste 504
Delray Beach, FL 33484
Phone (561) 241-9300

308 S Harbor City Blvd
Ste A
Melbourne, FL 32901
Phone (321) 254-9060

7000 Spyglass Ct
Ste 310
Melbourne, FL 32940
Phone (321) 459-1192

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

3450 E Fletcher Ave
Ste 350
Tampa, FL 33613
Phone (813) 739-7493

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

7518 Cypress Gardens Blvd
Winter Haven, FL 33884
Phone (813) 426-8263

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

1693 Lee Rd
Ste B
Winter Park, FL 32789
Phone (407) 622-5766

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: richard.pectol@ppoa.directbygreenway.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1548466303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N REO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091013",
            "telephone_number": "813-549-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SPYGLASS CT STE 310",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940",
            "telephone_number": "321-735-6218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECTOL",
        "first_name": "RICHARD",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2986442",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP 2986442",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "2986442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "ARNP 2986442",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.