Active NPI
Marilyn R Barrera, APRN
- Family Nurse Practitioner
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11002702
- Practice address
- 1130 Kyle Wood LN
Brandon, FL 33511-4850 - Phone
- (813) 600-5423
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11002702 | FL | Primary |
Addresses
Primary practice location
1130 Kyle Wood LN
Brandon, FL 33511-4850
Mailing address
12717 Flatwood Creek Dr
Gibsonton, FL 33534-5717
Phone (931) 980-1636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3140 S Falkenburg Rd
Suite 201
Riverview, FL 33578-2594
Phone (813) 910-0030
Hospital & facility affiliations
- St Josephs Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 70.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11002702 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Kidney Physicians, LLC | Current | Accepting new patients | |
| Florida Kidney Physicians , LLC | Current | Accepting new patients | |
| Bay Area Advance Gastroenterology Care Inc | Past | Accepting new patients |
Locations
1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173
19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558
2001 W Reynolds St
Plant City, FL 33563
Phone (813) 655-1100
3140 S Falkenburg Rd
Ste 201
Riverview, FL 33578
946 Cypress Village Blvd
Ste A
Ruskin, FL 33573
3909 Galen Ct
Ste 102
Sun City Ctr, FL 33573
Phone (813) 634-5502
3419 N Lakeview Dr
Tampa, FL 33618
Phone (813) 844-7600
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- marilyn.barrera.1@15644.direct.athenahealth.com
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/JDDDCA
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 and National Provider Directory roles.
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
-
- Gastroenterology Physician
- Brandon, FL
- NPI 1790055457
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561161600000",
"number": "1972161537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12717 FLATWOOD CREEK DR",
"city": "GIBSONTON",
"state": "FL",
"postal_code": "335345717",
"telephone_number": "931-980-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 KYLE WOOD LN",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114850",
"telephone_number": "813-600-5423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRERA",
"first_name": "MARILYN",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2019-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11002702",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.