Individual provider Active NPI

Mary Permiakov, APRN, FNP-C

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1073319612
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11037908 Issued in FL
Practice address
4848 Wood Pointe Way
Sarasota, FL 34233-3526
Phone
(917) 940-0151
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11037908 FL Primary

Addresses

Primary practice location

4848 Wood Pointe Way
Sarasota, FL 34233-3526

Mailing address

4848 Wood Pointe Way
Sarasota, FL 34233-3526
Phone (917) 940-0151

Other names 1

  • Mary Markovic Former name

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
I20250305001890 FL Practitioner - Nurse Practitioner 3072034156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bluestone Physician Services Southeast LLCGroup PAC ID 9739086257, 25 clinicians

Practice addresses (Care Compare)

10150 Highland Manor Dr
Suite 205
Tampa, FL 33610-9727
Phone (813) 259-1013

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11037908FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Physician Services Southeast LLC CurrentSince Mar 17, 2025 Accepting new patients
Bluestone Physician Services Southeast LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

10150 Highland Manor Dr
Ste 205
Tampa, FL 33610
Phone (813) 259-1013

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073319612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 WOOD POINTE WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333526",
            "telephone_number": "917-940-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 WOOD POINTE WAY",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342333526",
            "telephone_number": "917-940-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERMIAKOV",
        "first_name": "MARY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11037908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MARKOVIC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.