Individual provider Active NPI

Yolette Jean-Louis Martelly, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1043080971
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2023036446 Issued in FL
Practice address
7009 Maidstone Dr
Port Saint Lucie, FL 34986-3347
Phone
(561) 633-1829
NPI assigned
Jan 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2023036446 FL Primary

Addresses

Primary practice location

7009 Maidstone Dr
Port Saint Lucie, FL 34986-3347

Mailing address

7009 Maidstone Dr
Port Saint Lucie, FL 34986-3347
Phone (561) 633-1829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522001436 FL Practitioner - Nurse Practitioner 9830368307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Deno Services IncGroup PAC ID 7618238726, 9 clinicians
Sante Plus Medical CenterGroup PAC ID 8123420049, 9 clinicians

Practice addresses (Care Compare)

13000 SW Tradition Pkwy
Port Saint Lucie, FL 34987-2885
Phone (772) 202-0106

1502 Lake Trafford Rd
Immokalee, FL 34142-2618
Phone (239) 722-6774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023036446FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deno Services Inc CurrentSince May 1, 2025 Accepting new patients
Sante Plus Medical Center CurrentSince Aug 10, 2025 Accepting new patients
Sante Plus Medical Center Past Accepting new patients

Locations

3822 Broadway
Ste A
Fort Myers, FL 33901
Phone (239) 274-3004

1423 S US Highway 1
Fort Pierce, FL 34950
Phone (772) 466-6855

1502 Lake Trafford Rd
Immokalee, FL 34142
Phone (239) 657-6363

8980 S US Highway 1
Ste 101
Port St Lucie, FL 34952
Phone (772) 788-5770

13000 SW Tradition Pkwy
St Lucie West, FL 34987
Phone (772) 202-0106

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1043080971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 MAIDSTONE DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863347",
            "telephone_number": "561-633-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7009 MAIDSTONE DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349863347",
            "telephone_number": "561-633-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-LOUIS MARTELLY",
        "first_name": "YOLETTE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "2023036446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.