Individual provider Active NPI

Charissa N Wright, APRN

  • Family Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1679219620
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019166 Issued in FL
Practice address
1700 S 23Rd St
Fort Pierce, FL 34950-4803
Phone
(772) 468-4502
NPI assigned
May 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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 11019166 FL Primary

Addresses

Primary practice location

1700 S 23Rd St
Fort Pierce, FL 34950-4803

Mailing address

1700 S 23Rd St
Fort Pierce, FL 34950-4803

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
I20220912003874 FL Practitioner - Nurse Practitioner 7012392061 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019166FLMDFamily Nurse Practitioner

Practice roles (8 of 10)

OrganizationSpecialtyStatusNew patients
Zen Medicine Irc LLC CurrentSince Jan 29, 2024 Accepting new patients
Steward Medical Group, Inc. CurrentSince Jan 30, 2023 Accepting new patients
Alora Health, Wellness & Aesthetics Current Accepting new patients
Ahmad Rashid, M.D. & Babar Shareef, M.D., P.a. CurrentSince Sep 6, 2022 Accepting new patients
Subsidium Health Inc Current Accepting new patients
Oceanside Health and Wellness LLC Family CurrentSince Jun 22, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 30, 2023 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients

Locations

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

2215 Nebraska Ave
Ste 2-E
Fort Pierce, FL 34950
Phone (772) 461-6812

14110 US Highway 1
Sebastian, FL 32958
Phone (772) 202-2265

1910 82nd Ave
Ste 105
Vero Beach, FL 32966
Phone (772) 226-0425

3735 11th Cir
Ste 101
Vero Beach, FL 32960
Phone (772) 299-0400

1300 36th St
Ste D
Vero Beach, FL 32960
Phone (772) 226-7380

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: charissa.wright.1@32031.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1679219620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S 23RD ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S 23RD ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504803",
            "telephone_number": "772-468-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CHARISSA",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.