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

Q: 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.

Q: 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.

Q: 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.

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: August 23, 2026.

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

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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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

75 services33 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

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

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