Julae E Brock, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Arcadia, FL
NPI 1841954286 · NPPES record last updated Apr 22, 2022
Key facts
- NPI
- 1841954286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 11015980 (FL)
- Practice address
- 725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752 - Phone
- (863) 494-1242
- NPI assigned
- Oct 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Upshaw TMS LLC
Practice addresses (Care Compare)
6511 Gunn Hwy
Tampa, FL 33625-4021
Phone (813) 605-1122
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220315002565 | FL | Practitioner - Nurse Practitioner | 7911392691 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11015980 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current |
Accepting new patients | |
| Upshaw TMS LLC | Current |
Accepting new patients | |
| Neurospa TMS LLC | Current |
Accepting new patients | |
| MCR Health, Inc. | Current |
Accepting new patients |
Locations
725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242
101 Riverfront Blvd
Ste 710
Bradenton, FL 34205
1170 Nikki View Dr
Brandon, FL 33511
Phone (813) 605-1122
5147 S Lakeland Dr
Ste 1
Lakeland, FL 33813
Phone (863) 262-7881
700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
4419 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 318-4621
6511 Gunn Hwy
Tampa, FL 33625
Phone (813) 605-1122
2306 Ashley Oaks Cir
Ste 101
Zephyrhills, FL 33544
Phone (813) 322-6776
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11015980 | FL | Yes |
Addresses
Primary practice location
725 N 12TH Ave BLDG B
Arcadia, FL 34266-8752
Mailing address
101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000
Other practice location 1
350 Tanager Ct
Lakeland, FL 33803-4843
Phone (813) 967-1963
Other names
- Ms. Julae E Williams
Other providers in Arcadia, FL
- Robin Storm Bledsoe
- Blissful Rejuvenation, Inc.
- Rebecca Bolt
- Danyiell E Bonville
- Maureen Jean Bowman
- Tirsit A Brooks
- Tamika F Brown
- Mary Storm Brynin
- Emily Burch
- Sharon A Buttermore
All providers in Arcadia, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.