Individual provider Active NPI

Maria Sepulveda, NP

  • Nurse Practitioner
  • Loxahatchee, FL
National Provider Identifier
1043532773
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9243685 Issued in FL
Practice address
13475 Southern Blvd Ste 100
Loxahatchee, FL 33470-9233
Phone
(561) 793-1713
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9243685 FL
Nurse Practitioner 363L00000X ARNP9243685 FL Primary

Addresses

Primary practice location

13475 Southern Blvd Ste 100
Loxahatchee, FL 33470-9233

Mailing address

13475 Southern Blvd Ste 100
Loxahatchee, FL 33470-9233

Other identifiers 1

IdentifierTypeStateIssuer
Y08K2OtherFLBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maria.sepulveda.1@29601.direct.athenahealth.com

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
I20100803001294 FL Practitioner - Nurse Practitioner 5597898122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

1490 Forest Hill Blvd
West Palm Beach, FL 33406-6014
Phone (561) 967-5350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9243685FLMDNurse Practitioner
9243685FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC CurrentSince Apr 19, 2021 Accepting new patients
Conviva Medical Center Management LLC PastSince Aug 17, 2025 Accepting new patients
Florida PHS LLC Past Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients

Locations

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

13475 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 333-5022

13475 Southern Blvd
Ste 100
Loxahatchee, FL 33470
Phone (561) 231-5200

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

12953 Palms West Dr
Ste 102
Village of Wellington, FL 33470
Phone (561) 793-1713

1490 Forest Hill Blvd
West Palm Beach, FL 33406
Phone (561) 965-8227

Organizations & group practices 4

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": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1043532773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13475 SOUTHERN BLVD STE 100",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13475 SOUTHERN BLVD STE 100",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709233",
            "telephone_number": "561-793-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9243685",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9243685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y08K2",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maria.sepulveda.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "13475 Southern Blvd Ste 100",
            "city": "Loxahatchee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334709233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.