Active NPI
Deborah Carscallen, ARNP
- Family Nurse Practitioner
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2614862
- Practice address
- 1553 US Highway 1
Vero Beach, FL 32960-5735 - Phone
- (772) 257-8224
- Fax
- (772) 213-3157
- NPI assigned
- May 11, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2614862 | FL | Primary |
Addresses
Primary practice location
1553 US Highway 1
Vero Beach, FL 32960-5735
Mailing address
1545 9TH St SW
Vero Beach, FL 32962-4312
Phone (772) 257-8224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021748600 | Medicaid | FL |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2614862 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Treasure Coast Community Health Inc | Current | Accepting new patients | |
| Treasure Coast Community Health Inc | Current | Accepting new patients | |
| Treasure Coast Community Health Inc | Current | Accepting new patients |
Locations
12196 County Road 512
Fellsmere, FL 32948
Phone (561) 571-8828
2575 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 454-7148
1553 US Highway 1
Vero Beach, FL 32960
Phone (772) 562-3234
1545 9th St SW
Vero Beach, FL 32962
Phone 77225782241908
2555 Judge Fran Jamieson Way
Viera, FL 32940
Phone (321) 615-9337
Networks
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
- Public Health or Welfare Agency
- Viera, FL
- NPI 1386751907
-
- Federally Qualified Health Center (FQHC)
- Fellsmere, FL
- NPI 1891740916
-
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1609686542
-
- Federally Qualified Health Center (FQHC)
- Vero Beach, FL
- NPI 1649721341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1548796568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 9TH ST SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329624312",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1553 US HIGHWAY 1",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605735",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSCALLEN",
"first_name": "DEBORAH",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "2614862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021748600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.