Individual provider Active NPI

Maryann Ethel Barrett, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1932624426
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9483258 Issued in FL
Practice address
285 Clyde Morris Blvd Ste 300
Ormond Beach, FL 32174-8144
Phone
(386) 262-1627
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00748100 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9483258 FL Primary

Addresses

Primary practice location

285 Clyde Morris Blvd Ste 300
Ormond Beach, FL 32174-8144

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (239) 223-2751

Other practice location 1

841 Jimmy Ann Dr
Daytona Beach, FL 32117-4583
Phone (386) 425-3963

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
I20190206000780 FL Practitioner - Nurse Practitioner 3971869645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

285 Clyde Morris Blvd
Suite 300
Ormond Beach, FL 32174-8144
Phone (239) 223-2751

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Springs Retirement Village, Inc. CurrentSince Jun 11, 2022 Accepting new patients
Dna Comprehensive Therapy Services, LLC CurrentSince Jun 11, 2022 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Jan 21, 2019 Accepting new patients
Princeton Healthcare System, a New Jersey Non-Profit Corporation Past Accepting new patients

Locations

841 Jimmy Ann Dr
Daytona Beach, FL 32117
Phone (386) 274-5333

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

1131 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 363-2025

285 Clyde Morris Blvd
Ste 300
Ormond Beach, FL 32174
Phone (386) 262-1627

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Interoperability endpoints

  • Direct secure messaging: maryann.barrett.1@13142.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1932624426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 METRO PKWY STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169416",
            "telephone_number": "239-223-2751",
            "fax_number": "239-561-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 CLYDE MORRIS BLVD STE 300",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748144",
            "telephone_number": "386-262-1627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Jimmy Ann Dr",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321174583",
            "country_code": "US",
            "telephone_number": "386-425-3963",
            "fax_number": "386-274-6646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "MARYANN",
        "middle_name": "ETHEL",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00748100",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9483258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.