Individual provider Active NPI

Timothy Yarbrough, ARNP

  • Family Nurse Practitioner
  • Wildlight, FL
National Provider Identifier
1710324330
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9198259 Issued in FL
Practice address
280 Sawgrass Dr
Wildlight, FL 32097-0101
Phone
(561) 889-9706
Fax
(561) 694-7981
NPI assigned
May 23, 2013
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 ARNP919829 FL
Family Nurse Practitioner 363LF0000X ARNP9198259 FL Primary

Addresses

Primary practice location

280 Sawgrass Dr
Wildlight, FL 32097-0101

Mailing address

280 Sawgrass Dr
Wildlight, FL 32097-0101
Phone (561) 889-9706

Other practice location 1

5568 Golden Eagle Cir
Palm Beach Gardens, FL 33418-1523
Phone (561) 889-9706

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
I20130710000332 FL Practitioner - Nurse Practitioner 7315187606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1008 Atlantic Ave
Fernandina Beach, FL 32034-3633
Phone (561) 889-9706

5568 Golden Eagle Cir
Palm Beach Gardens, FL 33418-1523

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP919829FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc CurrentSince Nov 20, 2023 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
Mobile Medical Care of the Palm Beaches PA CurrentSince Dec 19, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 20, 2023 Accepting new patients

Locations

1008 Atlantic Ave
Fernandina Beach, FL 32034

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1600 S Federal Hwy
Ste 420
Pompano Beach, FL 33062
Phone (561) 410-0242

Interoperability endpoints

  • Direct secure messaging: tyarbrough645262@direct.shands.ufl.edu

Organizations & group practices 5

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 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": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1710324330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SAWGRASS DR",
            "city": "WILDLIGHT",
            "state": "FL",
            "postal_code": "320970101",
            "telephone_number": "561-889-9706",
            "fax_number": "561-694-7981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SAWGRASS DR",
            "city": "WILDLIGHT",
            "state": "FL",
            "postal_code": "320970101",
            "telephone_number": "561-889-9706",
            "fax_number": "561-694-7981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5568 Golden Eagle Cir",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334181523",
            "country_code": "US",
            "telephone_number": "561-889-9706",
            "fax_number": "561-694-7981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "TIMOTHY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2024-03-20",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP919829",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9198259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.