Individual provider Active NPI

Erica Vergara, ARNP

  • Acute Care Nurse Practitioner
  • Weston, FL
National Provider Identifier
1689077661
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP9295253 Issued in FL
Practice address
3100 Weston Rd
Weston, FL 33331-3602
Phone
(954) 689-5000
NPI assigned
Oct 3, 2014
Last updated
Oct 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP9295253 FL Primary

Addresses

Primary practice location

3100 Weston Rd
Weston, FL 33331-3602

Mailing address

3100 Weston Rd
Weston, FL 33331-3602
Phone (954) 689-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20161129002111 CA Practitioner - Nurse Practitioner 0244555837 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
Group practices

Practice addresses (Care Compare)

1310 Las Tablas Rd
Suite 103
Templeton, CA 93465-9746
Phone (805) 434-0829

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9295253FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of San Luis Obispo, a Medical Group Inc CurrentSince May 29, 2024 Accepting new patients
Dignity Health PastSince May 29, 2024 Accepting new patients
Georgia Radiology Imaging Consultants, LLC Past Accepting new patients

Locations

1102 E Clark Ave
Ste 120B
Santa Maria, CA 93455
Phone (805) 332-8188

1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1689077661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WESTON RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313602",
            "telephone_number": "954-689-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WESTON RD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313602",
            "telephone_number": "954-689-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGARA",
        "first_name": "ERICA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9295253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.