Active NPI
Mary Jane Valbracht, APRN
- Family Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1699874545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN2535612
- Practice address
- 1221 W Lakeview Ave
Pensacola, FL 32501-1836 - Phone
- (850) 469-3500
- Fax
- (850) 595-1400
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN2535612 | FL | Primary |
Addresses
Primary practice location
1221 W Lakeview Ave
Pensacola, FL 32501-1836
Mailing address
1221 W Lakeview Ave
Pensacola, FL 32501-1836
Phone (850) 469-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN2535612 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1699874545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 W LAKEVIEW AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011836",
"telephone_number": "850-469-3500",
"fax_number": "850-983-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 W LAKEVIEW AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011836",
"telephone_number": "850-469-3500",
"fax_number": "850-595-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALBRACHT",
"first_name": "MARY JANE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN2535612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.