John Dennis Pelick, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9460835 Issued in FL

Practice address

4647 Manatee Avenue W
Bradenton, FL 34209-3816

Phone

(941) 745-5999

Fax

(941) 745-3555

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093722555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATT: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "941-745-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 MANATEE AVENUE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093816",
            "telephone_number": "941-745-5999",
            "fax_number": "941-745-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6272 Lake Osprey Drive",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342408425",
            "country_code": "US",
            "telephone_number": "941-907-2800",
            "fax_number": "941-907-9434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9908 SR 64 East",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342125303",
            "country_code": "US",
            "telephone_number": "941-747-8600",
            "fax_number": "941-749-5915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELICK",
        "first_name": "JOHN",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9460835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrix Medical Group of Florida Inc
• Marian Pedreira, DO
• Debra Kathleen Peel
• Stephen Joseph Peirce, D.D.S.
• Miguel R Pelayo, M.D.
• Louis Joseph Pellegrino, DO
• Martha A Pelletier, AP
• Paul Pelletreau, LCSW
• Mark Charles Pellman Jr.
• Robert L Pelot, RPH

• Family Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.