Individual provider Active NPI

Deneb Wright, APRN

  • Family Nurse Practitioner
  • Navarre, FL
National Provider Identifier
1942068051
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11031527 Issued in FL
Practice address
10044 Parker Lake Cir
Navarre, FL 32566-4804
Phone
(850) 316-1228
NPI assigned
Mar 12, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11031527 FL Primary

Addresses

Primary practice location

10044 Parker Lake Cir
Navarre, FL 32566-4804

Mailing address

10044 Parker Lake Cir
Navarre, FL 32566-4804
Phone (850) 316-1228

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
I20240606001915 FL Practitioner - Nurse Practitioner 0648712513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

310 Racetrack Rd NW
Fort Walton Beach, FL 32547-1553
Phone (850) 889-4550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11031527FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White-Wilson Medical Center PA CurrentSince May 20, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince Nov 18, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince Nov 18, 2024 Accepting new patients

Locations

1110 Hospital Rd
#1112
Fort Walton Beach, FL 32547
Phone (850) 863-8100

310 Racetrack Rd NW
Fort Walton Beach, FL 32547
Phone (850) 889-4550

1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

Interoperability endpoints

  • Direct secure messaging: deneb.wright.1@9109.direct.athenahealth.com

Organizations & group practices 3

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1942068051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10044 PARKER LAKE CIR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325664804",
            "telephone_number": "850-316-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10044 PARKER LAKE CIR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325664804",
            "telephone_number": "850-316-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DENEB",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.