DENISE CULBREATH ARNP
NPI 1225569296
Nurse Practitioner - Acute Care in Ocala, FL

Q: What is Denise Culbreath's NPI number?

The NPI number for Denise Culbreath is 1225569296. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Denise Culbreath's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Denise Culbreath was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 22, 2017PECOS Enrolled

3231 SW 34TH AVE, OCALA, FL 34474(352) 873-7400 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 19, 2026, May 8, 2026, May 17, 2022 and 1 more (4 updates tracked since 2017).

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About Denise Culbreath Arnp NPPES

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

DENISE CULBREATH ARNP (NPI 1225569296) is an individual acute care provider in Ocala, Florida, licensed in Florida (APRN3056942) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225569296

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameDENISE CULBREATHCredential: ARNP

Location Address3231 SW 34TH AVEOcala, FL 34474-8489

Mailing Address3231 Sw 34th AveOcala, FL 34474-8489 · (352) 873-7400

Phone(352) 873-7400

Sole ProprietorNo

Enumeration DateMarch 22, 2017

Last NPPES UpdateMay 19, 20264 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1225569296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · APRN3056942

3231 SW 34TH AVE, Ocala, FL 34474

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Culbreath Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Denise Culbreath reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospice Of Marion County Inc

Same address

Hospice Care, Community Based

3231 SW 34TH AVE
Ocala, FL 34474

Reassigned Medicare billing, Florida enrollment
17 clinicians in this Medicare group

NPI 1235189440 (352) 873-7400

Center For Comprehensive Palliative Care L L C

2.8 mi

Health Service

1528 SW 1ST AVE
Ocala, FL 34471

Reassigned Medicare billing, Florida enrollment
20 clinicians in this Medicare group

NPI 1871791574 (352) 291-5881

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34474 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%23 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RONALD P SPENCER M.D.

Family Medicine (Hospice and Palliative Medicine)