Individual provider Active NPI

Mayrelis Silva, APRN

  • Pediatric Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1245063965
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN11034237 Issued in FL
Practice address
5255 Office Park Blvd Ste 110
Bradenton, FL 34203-3443
Phone
(941) 755-7000
Fax
(941) 755-7088
NPI assigned
Aug 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11034237 FL
Pediatric Nurse Practitioner 363LP0200X APRN11034237 FL Primary

Addresses

Primary practice location

5255 Office Park Blvd Ste 110
Bradenton, FL 34203-3443

Mailing address

5255 Office Park Blvd Ste 110
Bradenton, FL 34203-3443
Phone (941) 755-7000

Other practice location 1

1862 Rye Rd Ste 101
Bradenton, FL 34212-9038
Phone (941) 209-7680

Other identifiers 1

IdentifierTypeStateIssuer
APRN1034237OtherFLAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16513 Bergamo PL
Lakewood Ranch, FL 34211-3721

52013 Beech Dr
Chesterfield, MI 48047-4558

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11034237FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Federico a. Frias MD PA PastSince Aug 25, 2024 Accepting new patients
Federico a. Frias MD PA PastSince Aug 25, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mayrelis.silva.1@21958.direct.athenahealth.com

Organizations & group practices 2

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": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1245063965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 OFFICE PARK BLVD STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033443",
            "telephone_number": "941-755-7000",
            "fax_number": "941-755-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 OFFICE PARK BLVD STE 110",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342033443",
            "telephone_number": "941-755-7000",
            "fax_number": "941-755-7088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1862 Rye Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342129038",
            "country_code": "US",
            "telephone_number": "941-209-7680",
            "fax_number": "941-209-7685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MAYRELIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034237",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11034237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APRN1034237",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.