Individual provider Active NPI

Adriane McPheeters, ARNP

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1558746131
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9264815 Issued in FL
Practice address
7901 4TH St N Ste 6251
St Petersburg, FL 33702-4305
Phone
(561) 542-4972
Fax
(888) 340-7510
NPI assigned
Jul 24, 2015
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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 ARNP 9264815 FL Primary

Addresses

Primary practice location

7901 4TH St N Ste 6251
St Petersburg, FL 33702-4305

Mailing address

7901 4TH St N Ste 6251
St Petersburg, FL 33702-4305
Phone (561) 808-6907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OH, NC, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20250115000860 WA Practitioner - Nurse Practitioner 8628372836 Reassigns benefits to 1 organization
I20250211000710 OH Practitioner - Nurse Practitioner 8628372836 Reassigns benefits to 1 organization
I20250319003927 NC Practitioner - Nurse Practitioner 8628372836 Reassigns benefits to 1 organization
I20250723003667 OR Practitioner - Nurse Practitioner 8628372836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians

Practice addresses (Care Compare)

106 Langtree Village Dr
Suite 301
Mooresville, NC 28117-7594
Phone (888) 288-4715

111 SW Naito Pkwy
Suite 200
Portland, OR 97204-3512
Phone (503) 563-7370

20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061

915 Broadway St
Suite 137
Vancouver, WA 98660-3278
Phone (503) 208-5061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9264815FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness With Style by Adriani, LLC CurrentSince Jul 31, 2023 Accepting new patients
Boulder Care Provider Group PA CurrentSince Dec 1, 2024 Accepting new patients

Locations

106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

915 Broadway St
Ste 137
Vancouver, WA 98660
Phone (503) 208-5061

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, 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": "1437696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1558746131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 6251",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "561-808-6907",
            "fax_number": "888-340-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 6251",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "561-542-4972",
            "fax_number": "888-340-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHEETERS",
        "first_name": "ADRIANE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-24",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9264815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.