Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Justin E. Pickens, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1790371995

Mr. Justin E. Pickens, APRN is a Nurse Practitioner in Port Charlotte, Florida. Qualified in 2020, 6 years ago. Practices with Mori Bean and Brooks Inc, a 976-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4235 Kings Hwy Ste 103
Port Charlotte, FL 33980-8421
Phone: (941) 613-1777
Fax: (941) 613-1779
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11010438 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 11010438 (FL)

Record details

NPI number1790371995
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 12, 2020
Last updated in NPPESApril 30, 2025
Certification dateDecember 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mori Bean And Brooks Inc — 976 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Port Charlotte