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MRS. ADRIENNE DENISE MUBARAK APN
NPI 1972897403
Nurse Practitioner - Gerontology in Palm Coast, FL

Active since June 01, 2011PECOS Enrolled
30 EDGELY LN, PALM COAST, FL 32164(773) 457-9000 Get Directions Write a Review

NPPES record last updated: August 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2019, Jan 17, 2019 (2 updates tracked since 2019).

About Mrs. Adrienne Denise Mubarak Apn NPPES

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

MRS. ADRIENNE DENISE MUBARAK APN (NPI 1972897403) is an individual gerontology provider in Palm Coast, Florida, licensed in Florida (APRN9378786) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972897403
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. ADRIENNE DENISE MUBARAKCredential: APN
Location Address30 EDGELY LNPalm Coast, FL 32164-6353
Mailing Address30 Edgely LnPalm Coast, FL 32164-6353 · (773) 457-9000
Phone(773) 457-9000
Sole ProprietorNo
Enumeration DateJune 1, 2011
Last NPPES UpdateAugust 19, 20192 updates tracked since enumeration
✔ NPI 1972897403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN9378786
30 EDGELY LN, Palm Coast, FL 32164
Open in Google Maps ↗

Other Identifiers 2

OtherAPRN9378786FL · Fl Aprn License
OtherRN9378786FL · Fl Rn License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Adrienne Denise Mubarak Apn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32164 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.

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 Adrienne Mubarak's NPI number?

The NPI number for Adrienne Mubarak is 1972897403. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Where is Adrienne Mubarak located?

Adrienne Mubarak practices at 30 Edgely Ln, Palm Coast, FL 32164. The listed phone number is (773) 457-9000.

What is Adrienne Mubarak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Adrienne Mubarak enrolled in Medicare?

Yes. Adrienne Mubarak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Adrienne Mubarak was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.