Individual provider Active NPI

Brittany Anne Mobley, ARNP, AG-ACNP

  • Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1972001766
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9287622 Issued in FL
Practice address
300 Pinellas St
Clearwater, FL 33756
Phone
(727) 462-7000
NPI assigned
Jan 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9287622 FL Primary

Addresses

Primary practice location

300 Pinellas St
Clearwater, FL 33756

Mailing address

611 S Fort Harrison Ave # 354
Clearwater, FL 33756-5301
Phone (727) 298-6612

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
I20180328001057 FL Practitioner - Nurse Practitioner 9436411600 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
Group practices
Bay Area Emergency Physicians LLCGroup PAC ID 2668368952, 9 clinicians

Practice addresses (Care Compare)

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 462-7000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pasco County Emergency Physicians LLC CurrentSince Feb 19, 2018 Accepting new patients
Bay Area Emergency Physicians LLC CurrentSince Feb 19, 2018 Accepting new patients

Locations

611 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 298-6612

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

Organizations & group practices 2

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": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1972001766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S FORT HARRISON AVE # 354",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565301",
            "telephone_number": "727-298-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PINELLAS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-462-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBLEY",
        "first_name": "BRITTANY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP, AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9287622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.