Individual provider Active NPI

Tera D Maple, APRN

  • Critical Care Medicine Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1043518756
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
APRN9264398 Issued in FL
Practice address
601 E Rollins St
Orlando, FL 32803-1248
Phone
(407) 303-7283
NPI assigned
Mar 3, 2011
Last updated
Sep 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X APRN9264398 FL Primary
Acute Care Nurse Practitioner 363LA2100X APRN9264398 FL

Addresses

Primary practice location

601 E Rollins St
Orlando, FL 32803-1248

Mailing address

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-7283

Other identifiers 2

IdentifierTypeStateIssuer
006292300MedicaidFL
003126038AMedicaidGA

Other names 1

  • Tera D Blackmon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DE, AL, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110728000306 FL Practitioner - Nurse Practitioner 3577731066 Reassigns benefits to 4 organizations
I20250618000210 DE Practitioner - Nurse Practitioner 3577731066 Reassigns benefits to 1 organization
I20250618001449 AL Practitioner - Nurse Practitioner 3577731066 Reassigns benefits to 1 organization
I20251022005050 TX Practitioner - Nurse Practitioner 3577731066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
Hospitalist Medicine Physicians of Delaware, PAGroup PAC ID 2062679772, 33 clinicians

Practice addresses (Care Compare)

1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 308-7300

15255 Max Leggett Pkwy
Jacksonville, FL 32218-7213
Phone (904) 383-1000

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

640 S State St
Bayhealth Hospital Kent Campus
Dover, DE 19901-3530
Phone (302) 674-4700

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-1680

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (940) 244-4218

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 13, 2012 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 6, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 6, 2025 Accepting new patients
Cogent Healthcare of Decatur, LLC CurrentSince Jun 1, 2025 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince May 1, 2019 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince May 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Delaware, PA CurrentSince Apr 12, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 13, 2012 Accepting new patients
R K Vishen MD P a CurrentSince Feb 26, 2011 Accepting new patients
Cogent Healthcare of Texas, PA CurrentSince Sep 1, 2025 Accepting new patients

Locations

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

640 S State St
Dover, DE 19901
Phone (302) 744-4700

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1658 St Vincents Way
Ste 100
Middleburg, FL 32068
Phone (904) 354-8200

165 Wells Rd
Ste 404
Orange Park, FL 32073
Phone (904) 264-3111

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Interoperability endpoints

  • Direct secure messaging: tmaple72668@direct.shands.ufl.edu

Organizations & group practices 11

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1043518756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E ROLLINS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031248",
            "telephone_number": "407-303-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLE",
        "first_name": "TERA",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "FL",
            "license": "APRN9264398",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9264398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006292300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126038A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERA",
            "last_name": "BLACKMON",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.