Active NPI
Maritza Balzarini, FNP-BC
- Family Nurse Practitioner
- Riverview, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11031654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11031654 | FL | MD | Family Nurse Practitioner |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart and Vascular Associates of Tampa LLC | Current | Accepting new patients | |
| Heart and Vascular Associates of Tampa LLC | Single Specialty | Current | Accepting new patients |
| South Shore Cardiovascular Associates Inc | Single Specialty | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Brandon, FL
- NPI 1912175290
FL, Single Specialty
-
- Cardiovascular Disease Physician
- Tampa, FL
- NPI 1154701365
FL, Single Specialty
-
- Urgent Care Clinic/Center
- Tampa, FL
- NPI 1629699889
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.