Individual provider Active NPI

Dawn Chiarenza, ARNP

  • Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1710236435
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3182642 Issued in FL
Practice address
1700 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7539
Phone
(772) 335-9600
Fax
(772) 335-9699
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3182642 FL Primary

Addresses

Primary practice location

1700 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7539

Mailing address

1700 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7539
Phone (772) 335-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DAWN.CHIARENZA@hca4.eclinicaldirectplus.com

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
I20121127000575 FL Practitioner - Nurse Practitioner 5193976066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lucie Medical Specialists LLCGroup PAC ID 1456430487, 39 clinicians

Practice addresses (Care Compare)

1881 SE Tiffany Ave
Port Saint Lucie, FL 34952-7567

2505 SW Martin Hwy
Palm City, FL 34990-3149
Phone (772) 288-1015

Hospital & facility affiliations

  • HCA Florida Healthcare at Home Home health agency, Fort Pierce, FL, CCN 107271
  • Trilogy Home Healthcare Home health agency, Port Saint Lucie, FL, CCN 109270
  • St Lucie Medical Center Hospital, Port Saint Lucie, FL, CCN 100260

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3182642FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Lucie Medical Specialists LLC CurrentSince Oct 10, 2012 Accepting new patients
Lawnwood Cardiovascular Surgery LLC Past Accepting new patients

Locations

2505 SW Martin Hwy
Palm City, FL 34990
Phone (772) 288-0060

1881 SE Tiffany Ave
Ste 308
Port Saint Lucie, FL 34952
Phone (772) 398-7822

140 SW Chamber Ct
Ste 100
Port St Lucie, FL 34986
Phone (772) 873-0303

1881 SE Tiffany Ave
Ste 201
Port St Lucie, FL 34952

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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 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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1710236435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527539",
            "telephone_number": "772-335-9600",
            "fax_number": "772-335-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SE HILLMOOR DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527539",
            "telephone_number": "772-335-9600",
            "fax_number": "772-335-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIARENZA",
        "first_name": "DAWN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "3182642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DAWN.CHIARENZA@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1700 SE Hillmoor Dr",
            "city": "Port Saint Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349527539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.