VITAL HEALTH NURSE PRACTITIONER IN FAMILY HEALTH PLLC
NPI 1063396919
Nurse Practitioner - Family in Brooklyn, NY

Active since August 04, 2025
732 E 45TH ST, BROOKLYN, NY 11203(877) 258-6331(718) 362-1651 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vital Health Nurse Practitioner In Family Health Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITAL HEALTH NURSE PRACTITIONER IN FAMILY HEALTH PLLC (NPI 1063396919) is a healthcare organization registered as a family in Brooklyn, New York and active in the NPI registry since August 2025. The organization lists Donnica Horne, Owner, as its authorized official.

NPPES Registry Identity

NPI1063396919
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITAL HEALTH NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Location Address732 E 45TH STBrooklyn, NY 11203-5720
Mailing Address612 Corporate Way Ste 2mValley Cottage, NY 10989-2027 · (718) 362-1411 · Fax (718) 362-1651
Fax(718) 362-1651
Organization SubpartNo
Authorized OfficialDonnica HorneOwner · (718) 362-1411
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1063396919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
732 E 45TH ST, Brooklyn, NY 11203

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vital Health Nurse Practitioner In Family Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vital Health Nurse Practitioner In Family Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1851017685
999 BLAKE AVE
Brooklyn, NY 11208
(718) 277-8303
✔ PECOS✔ Accepts Medicare3.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vital Health Nurse Practitioner In Family Health PLLC's NPI number?

The NPI number for Vital Health Nurse Practitioner In Family Health PLLC is 1063396919. It was assigned to this organization in the NPPES registry on August 4, 2025.

Where is Vital Health Nurse Practitioner In Family Health PLLC located?

Vital Health Nurse Practitioner In Family Health PLLC is located at 732 E 45th St, Brooklyn, NY 11203. The listed phone number is (877) 258-6331.

What is Vital Health Nurse Practitioner In Family Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vital Health Nurse Practitioner In Family Health PLLC enrolled in Medicare?

Yes. Vital Health Nurse Practitioner In Family Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vital Health Nurse Practitioner In Family Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Vital Health Nurse Practitioner In Family Health PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vital Health Nurse Practitioner In Family Health PLLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.