Individual provider Active NPI

Pearl Fox, ARNP

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1902382898
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9319414 Issued in FL
Practice address
403 S Kings Ave Ste 201
Brandon, FL 33511-5962
Phone
(813) 872-4492
NPI assigned
Jul 14, 2018
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9319414 FL Primary

Addresses

Primary practice location

403 S Kings Ave Ste 201
Brandon, FL 33511-5962

Mailing address

403 S Kings Ave
Ste 201
Brandon, FL 33511-5962
Phone (813) 872-4492

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
I20181210000411 FL Practitioner - Nurse Practitioner 1557605144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Pain Relief Center IncGroup PAC ID 6002715158, 33 clinicians

Practice addresses (Care Compare)

403 S Kings Ave
Suite 201
Brandon, FL 33511-5962
Phone (813) 872-4492

Merit-based Incentive Payment System (MIPS)

Final score
84.72 of 100Reported as group
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9319414FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Pain Relief Center, Inc. CurrentSince Sep 24, 2018 Accepting new patients

Locations

403 S Kings Ave
Ste 201
Brandon, FL 33511

325 Waymont Ct
Ste 111
Lake Mary, FL 32746
Phone (407) 585-0263

2333 W Hillsborough Ave
Ste 100
Tampa, FL 33603
Phone (813) 935-1284

Interoperability endpoints

  • Direct secure messaging: pearl.fox.p2@direct.painreliefcenters.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1902382898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S KINGS AVE",
            "address_2": "STE 201",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115962",
            "telephone_number": "813-872-4492",
            "fax_number": "813-490-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S KINGS AVE STE 201",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115962",
            "telephone_number": "813-872-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "PEARL",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-14",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9319414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.