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CARMEN HERBRUGER
NPI 1922346477
Nurse Practitioner - Psychiatric/Mental Health in Gainesville, FL

Active since January 17, 2013PECOS EnrolledAccepts Medicare Assignment
4300 SW 13TH ST, GAINESVILLE, FL 32608(352) 374-5600(352) 374-5608 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2024, Mar 22, 2023 (2 updates tracked since 2023).

About Carmen Herbruger NPPES

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

CARMEN HERBRUGER (NPI 1922346477) is an individual psychiatric/mental health provider in Gainesville, Florida, licensed in Florida (APRN11023492) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1922346477
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARMEN HERBRUGER
Location Address4300 SW 13TH STGainesville, FL 32608-4006
Mailing Address4600 Touchton Rd E Bldg 100 Ste 150Jacksonville, FL 32246-8299 · (904) 451-0877
Phone(352) 374-5600
Fax(352) 374-5608
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 17, 2013
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1922346477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11023492
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9349037 (FL)
4300 SW 13TH ST, Gainesville, FL 32608
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Secondary Practice Location 1

Location 14600 Touchton Rd E Ste 150Jacksonville, FL 32246 · Phone (904) 451-0877

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carmen Herbruger is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810362365
PECOS Enrollment IDI20230414000157
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

6

Medicare enrollment records show Carmen Herbruger reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Balanced Wellbeing LLC
33 mi
Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group
NPI 1336513639 (352) 445-1200
Citrus County Rural Health Inc
51 mi
Federally Qualified Health Center (FQHC)
927 N CITRUS AVE
Crystal River, FL 34428
  • Reassigned Medicare billing, Florida enrollment
  • 86 clinicians in this Medicare group
NPI 1740931831 (352) 565-7342
Health Care Center For The Homeless Inc
83 mi
Federally Qualified Health Center (FQHC)
225 N KENNEL RD
Sanford, FL 32771
  • Reassigned Medicare billing, Florida enrollment
  • 109 clinicians in this Medicare group
NPI 1326466657 (407) 428-5751
Ace Behavioral Health LLC
112 mi
Psychiatry
5406 HOOVER BLVD STE 18
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1841094885 (866) 770-4104
Mcr Health, Inc.
140 mi
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
NPI 1255376000 (941) 776-4050
Cimpar Consulting, LLC
899 mi
Specialist
101 MADISON ST STE 300
Oak Park, IL 60302
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1861713216 (708) 486-2700

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
495 services120 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
110 services56 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
75 services33 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
34 services24 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
30 services30 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32608 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.

Other Providers at the Same Location NPPES 20

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

ROGER SMITH
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
JOSEPH PALMER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MABEL MAMBO CHE-TUMA
Registered Nurse
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
CHARNETTE MERRITT
Social Worker (Clinical)
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
KELLY MILLER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
MURIELLE SAINT-JEAN
Case Manager/Care Coordinator
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
SHANNON MOSER
Counselor
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600
DOUGLAS CARL
Nurse's Aide
4300 SW 13TH ST
GAINESVILLE, FL 32608
Alachua County (352) 374-5600

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 Carmen Herbruger's NPI number?

The NPI number for Carmen Herbruger is 1922346477. It was assigned to this individual provider in the NPPES registry on January 17, 2013.

Where is Carmen Herbruger located?

Carmen Herbruger practices at 4300 SW 13th St, Gainesville, FL 32608. The listed phone number is (352) 374-5600.

What is Carmen Herbruger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Carmen Herbruger enrolled in Medicare?

Yes. Carmen Herbruger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carmen Herbruger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Herbruger reassigns Medicare benefits to 6 organizations: Balanced Wellbeing LLC (Ocala, FL), Citrus County Rural Health Inc (Crystal River, FL), Health Care Center For The Homeless Inc (Sanford, FL), Ace Behavioral Health LLC (Tampa, FL), Mcr Health, Inc. (Parrish, FL) and 1 more organization, listed in the Medicare section above. Each 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 Carmen Herbruger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Herbruger accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Carmen Herbruger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carmen Herbruger was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.