Individual provider Active NPI

Maritza Balzarini, FNP-BC

  • Family Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1114770849
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11031654 Issued in FL
Practice address
13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone
(813) 661-6199
Fax
(813) 661-6334
NPI assigned
Apr 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APRN11031654 FL Primary

Addresses

Primary practice location

13127 Vail Ridge Dr
Riverview, FL 33579-7196

Mailing address

13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone (813) 661-6199

Other practice location 1

2715 N Macdill Ave
Tampa, FL 33607-2205
Phone (813) 280-0202

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
I20240506004838 FL Practitioner - Nurse Practitioner 5597105650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Shore Cardiovascular Associates Inc 17 clinicians

Practice addresses (Care Compare)

13127 Vail Ridge Dr
Riverview, FL 33579-7196
Phone (813) 661-6199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11031654FLMDFamily Nurse Practitioner

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Heart and Vascular Associates of Tampa LLC CurrentSince Apr 11, 2024 Accepting new patients
Heart and Vascular Associates of Tampa LLC Single Specialty Current Accepting new patients
South Shore Cardiovascular Associates Inc Single Specialty CurrentSince Sep 9, 2024 Accepting new patients

Locations

608 Medical Care Dr
Brandon, FL 33511
Phone (813) 684-2506

425 S Kings Ave
Brandon, FL 33511
Phone (813) 661-6199

13127 Vail Ridge Dr
Riverview, FL 33579
Phone (813) 661-6199

4051 Upper Creek Dr
Ste 110
Sun City Center, FL 33573
Phone (813) 633-2504

2715 N Macdill Ave
Tampa, FL 33607
Phone (813) 280-0202

14525 Bruce B Downs Blvd
#5
Tampa, FL 33613
Phone (813) 661-6199

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEBACD

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": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1114770849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13127 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797196",
            "telephone_number": "813-661-6199",
            "fax_number": "813-661-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13127 VAIL RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797196",
            "telephone_number": "813-661-6199",
            "fax_number": "813-661-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2715 N Macdill Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336072205",
            "country_code": "US",
            "telephone_number": "813-280-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALZARINI",
        "first_name": "MARITZA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.