Individual provider Active NPI

Vanessa Marius, APRN (FNP-BC)

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1154294783
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11042656 Issued in FL
Practice address
540 NW University Blvd Ste 102
Port Saint Lucie, FL 34986-2280
Phone
(772) 310-1567
Fax
(772) 673-3866
NPI assigned
Sep 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 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 11042656 FL Primary

Addresses

Primary practice location

540 NW University Blvd Ste 102
Port Saint Lucie, FL 34986-2280

Mailing address

540 NW University Blvd Ste 102
Port Saint Lucie, FL 34986-2280
Phone (772) 310-1567

Other practice location 1

5809 NW Rose Petal Ct
Port St Lucie, FL 34986-4635
Phone (240) 486-2115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NY, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260121000196 WV Practitioner - Nurse Practitioner 7810474939 Reassigns benefits to 1 organization
I20260217002815 NY Practitioner - Nurse Practitioner 7810474939 Reassigns benefits to 1 organization
I20260505001302 FL Practitioner - Nurse Practitioner 7810474939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

113 S Monroe St
Tallahassee, FL 32301-1529

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

540 NW University Blvd
Suite 102
Port St Lucie, FL 34986-2280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11042656FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC CurrentSince Jan 11, 2026 Accepting new patients
Vitam Florida Health and Wellness LLC CurrentSince Apr 1, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 16, 2025 Accepting new patients

Locations

540 NW University Blvd
Ste 102
Port St Lucie, FL 34986
Phone (772) 310-1567

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1759104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1154294783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NW UNIVERSITY BLVD STE 102",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862280",
            "telephone_number": "772-310-1567",
            "fax_number": "772-673-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NW UNIVERSITY BLVD STE 102",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862280",
            "telephone_number": "772-310-1567",
            "fax_number": "772-673-3866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5809 NW Rose Petal Ct",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349864635",
            "country_code": "US",
            "telephone_number": "240-486-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIUS",
        "first_name": "VANESSA",
        "credential": "APRN (FNP-BC)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-29",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11042656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.