Individual provider Active NPI

Phebe Nicole Hagins Wright, NP-C

  • Family Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1689299000
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11030063 Issued in FL
Practice address
1630 Mason Ave Ste C
Daytona Beach, FL 32117-4503
Phone
(386) 238-9064
Fax
(386) 238-9063
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN261479 GA
Family Nurse Practitioner 363LF0000X APRN11030063 FL Primary

Addresses

Primary practice location

1630 Mason Ave Ste C
Daytona Beach, FL 32117-4503

Mailing address

1630 Mason Ave Ste C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200827001930 GA Practitioner - Nurse Practitioner 5294152898 Reassigns benefits to 2 organizations
I20240624004915 FL Practitioner - Nurse Practitioner 5294152898 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians
M Medical Group SE LLCGroup PAC ID 4385037670, 20 clinicians

Practice addresses (Care Compare)

1630 Mason Ave
Suite C
Daytona Beach, FL 32117-4503
Phone (386) 238-9064

300 Dr Carter Blvd
Bunnell, FL 32110-6211
Phone (386) 437-4168

Hospital & facility affiliations

  • Bravery Home Healthcare Home health agency, St Augustine, FL, CCN 687344

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
65.74
Promoting interoperability
100
Improvement activities
40
Cost
78.37

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40
Cost
61.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11030063FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC CurrentSince Apr 4, 2022 Accepting new patients
Harbin Clinic, LLC Current Accepting new patients
Adventist Health System Georgia Inc CurrentSince Oct 1, 2021 Accepting new patients
Excellence Health, LLC CurrentSince Apr 7, 2024 Accepting new patients
Harbin Clinic, LLC CurrentSince Apr 4, 2022 Accepting new patients
M Medical Group SE LLC CurrentSince Nov 1, 2025 Accepting new patients
Pai Participant 1 LLC Nurse Practitioner CurrentSince Dec 21, 2025 Accepting new patients
Sandford H Kinne III D O P a Past Accepting new patients

Locations

1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451

300 Dr Carter Blvd
Bunnell, FL 32110
Phone (386) 437-4168

1630 Mason Ave
Ste C
Daytona Beach, FL 32117
Phone (386) 238-9064

550 National Health Care Dr
#D
Daytona Beach, FL 32114
Phone (386) 257-6362

13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848

220 Sierra Dr
North Miami Beach, FL 33179
Phone (305) 653-8427

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

150 Gentilly Blvd
Cartersville, GA 30120
Phone (678) 719-7000

504 Redmond Rd NW
Rome, GA 30165
Phone (706) 235-3855

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 1

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1689299000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174503",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MASON AVE STE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174503",
            "telephone_number": "386-238-9064",
            "fax_number": "386-238-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGINS WRIGHT",
        "first_name": "PHEBE",
        "middle_name": "NICOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN261479",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11030063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.