Active NPI
John Vincent
- Family Nurse Practitioner
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11008534
- Practice address
- 5934 NW Dowell CT
Port St Lucie, FL 34986-3831 - Phone
- (772) 359-9452
- NPI assigned
- Sep 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 11008534 | FL | Primary |
Addresses
Primary practice location
5934 NW Dowell CT
Port St Lucie, FL 34986-3831
Mailing address
5934 NW Dowell CT
Port St Lucie, FL 34986-3831
Phone (772) 359-9452
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211129002223 | FL | Practitioner - Nurse Practitioner | 4789074113 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospital Medicine Services of FL, LLC
Practice addresses (Care Compare)
1796 US Hwy 441 N
Raulerson Hospital
Okeechobee, FL 34972-1918
Phone (863) 763-2151
Hospital & facility affiliations
- HCA Florida Raulerson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11008534 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FL-I Medical Services, LLC | Current | Accepting new patients | |
| FL-I Medical Services LLC | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| National Kidney Partners, LLP | Current | Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| FL-I Medical Services LLC | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
996 Airport Rd
Destin, FL 32541
Phone (615) 338-1250
2000 Hartman Rd
Ste 1
Fort Pierce, FL 34947
Phone (772) 465-1170
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1154721033
-
- Physician Assistant
- Haines City, FL
- NPI 1285356790
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": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1831703487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5934 NW DOWELL CT",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349863831",
"telephone_number": "772-359-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5934 NW DOWELL CT",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349863831",
"telephone_number": "772-359-9452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11008534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
- Victor Mobile Phlebotomy Services LLC
- Izana Victor
- Victoria Labs and Health Services LLC
- Donato Anthony Viggiano, M.D.
- Brittany Vigrass, M.O.T.
- Vinyard Institute of Plastic Surgery LLC
- Violet Gardens Alf, LLC
- Vip Health and Wellness LLC
- Joshua Lawrence Pineda Viray
- Virtual Horizons Counseling Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.