Individual provider Active NPI

Vanelis V Martin, APRN

  • Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1144028267
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11038033 Issued in FL
Practice address
500 Vonderburg Dr Ste 311W
Brandon, FL 33511-5978
Phone
(813) 654-2445
Fax
(813) 654-9885
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11038033 FL Primary

Addresses

Primary practice location

500 Vonderburg Dr Ste 311W
Brandon, FL 33511-5978

Mailing address

11135 Hudson Hills LN
Riverview, FL 33579-3211
Phone (352) 586-9693

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
I20250627002249 FL Practitioner - Nurse Practitioner 9830602499 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
Group practices
Brandon Area Primary Care PAGroup PAC ID 1759288269, 12 clinicians

Practice addresses (Care Compare)

500 Vonderburg Dr
Suite 311W
Brandon, FL 33511-5978
Phone (813) 654-2445

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11038033FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brandon Area Primary Care, PA CurrentSince May 15, 2025 Accepting new patients

Locations

282 Apollo Beach Blvd
Apollo Beach, FL 33572
Phone (813) 645-4068

500 Vonderburg Dr
Ste 311W
Brandon, FL 33511
Phone (813) 654-2445

Organizations & group practices 1

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1144028267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 HUDSON HILLS LN",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335793211",
            "telephone_number": "352-586-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 311W",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115978",
            "telephone_number": "813-654-2445",
            "fax_number": "813-654-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VANELIS",
        "middle_name": "V",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11038033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.