Individual provider Active NPI

Beverly Arnita Scruggs, ARNP

  • Family Nurse Practitioner
  • Parrish, FL
National Provider Identifier
1699048157
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9180840 Issued in FL
Practice address
12271 US Highway 301 N
Parrish, FL 34219-8410
Phone
(941) 708-7669
Fax
(941) 708-8893
NPI assigned
Feb 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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 ARNP9180840 FL Primary

Addresses

Primary practice location

12271 US Highway 301 N
Parrish, FL 34219-8410

Mailing address

700 8TH Ave W Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4000

Other identifiers 2

IdentifierTypeStateIssuer
Y0AUPOtherFLBCBS
004618000MedicaidFL

Other names 1

  • Beverly Arnita Morley Other name

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
I20120321000448 FL Practitioner - Nurse Practitioner 7719147271 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Mar 1, 2012 Accepting new patients
MCR Health, Inc. Family CurrentSince Mar 1, 2012 Accepting new patients
MCR Health, Inc. Past Accepting new patients

Locations

1148 E Gibson St
Bldg C
Arcadia, FL 34266
Phone (863) 494-6222

3501 Cortez Rd W
Ste 1
Bradenton, FL 34210
Phone (941) 909-7007

5108 15th St E
Ste 111
Bradenton, FL 34203
Phone (941) 210-7942

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

579 S Indiana Ave
Ste A
Englewood, FL 34223
Phone (941) 460-1341

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

404 7th St W
Palmetto, FL 34221
Phone (941) 729-3856

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0127

Interoperability endpoints

  • Direct secure messaging: beverly.scruggs.1@11352.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1699048157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 8TH AVE W STE 101",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214737",
            "telephone_number": "941-776-4000",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12271 US HIGHWAY 301 N",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342198410",
            "telephone_number": "941-708-7669",
            "fax_number": "941-708-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "BEVERLY",
        "middle_name": "ARNITA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9180840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0AUP",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004618000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "MORLEY",
            "middle_name": "ARNITA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Parrish, FL

Sources for this page

Verify at the official NPI Registry.