Individual provider Active NPI

Maria Carmela Ablao, FNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1265053516
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006973 Issued in FL
Practice address
150 Busch Dr # 26123
Jacksonville, FL 32218-5547
Phone
(904) 502-8477
NPI assigned
Apr 28, 2020
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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 11006973 FL Primary

Addresses

Primary practice location

150 Busch Dr # 26123
Jacksonville, FL 32218-5547

Mailing address

121 W Macclenny Ave
Macclenny, FL 32063-2029
Phone (904) 259-6380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT, VT, MN, AL, LA, MD, TX, PA9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20200929000458 FL Practitioner - Nurse Practitioner 9032538855 Reassigns benefits to 5 organizations
I20250403002526 CT Practitioner - Nurse Practitioner 9032538855
I20250409002790 VT Practitioner - Nurse Practitioner 9032538855
I20250409003727 MN Practitioner - Nurse Practitioner 9032538855
I20250505002031 AL Practitioner - Nurse Practitioner 9032538855 Reassigns benefits to 1 organization
I20250509002493 LA Practitioner - Nurse Practitioner 9032538855
I20250509002880 MD Practitioner - Nurse Practitioner 9032538855 Reassigns benefits to 1 organization
I20250513003130 TX Practitioner - Nurse Practitioner 9032538855 Reassigns benefits to 1 organization
I20250514002854 PA Practitioner - Nurse Practitioner 9032538855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifemd Southern Patient Medical Care PCGroup PAC ID 7618311820, 6 clinicians

Practice addresses (Care Compare)

12442 Itani Way
Jacksonville, FL 32226-2155
Phone (800) 852-1575

445 Dexter Ave
Suite 4050
Montgomery, AL 36104-3867
Phone (800) 852-1575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006973FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifemd Kansas Patient Medical Care PA Single Specialty CurrentSince Sep 15, 2025 Accepting new patients
Lifemd Atlantic Patient Medical Care PC Single Specialty CurrentSince May 6, 2025 Accepting new patients
Puopolo MD PC Single Specialty CurrentSince Oct 6, 2025 Accepting new patients
Lifemd Midwest Patient Medical Care PC Single Specialty CurrentSince Apr 7, 2025 Accepting new patients
New York Patient Medical Care PC Single Specialty CurrentSince Sep 15, 2025 Accepting new patients
Lifemd South Central Patient Medical Care PA Single Specialty CurrentSince May 8, 2025 Accepting new patients

Locations

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

12100 Wilshire Blvd
Ste 800
Los Angeles, CA 90025
Phone (310) 383-6610

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

83 Wooster Hts
Ste 125
Danbury, CT 06810
Phone (475) 289-7864

875 N Michigan Ave
Fl 31
Chicago, IL 60611
Phone (312) 794-7730

7300 W 110th St
Ste 700
Overland Park, KS 66210
Phone (913) 317-1672

400 E Pratt St
Fl 8
Baltimore, MD 21202
Phone (410) 505-0521

100 W Big Beaver Rd
Ste 200
Troy, MI 48084
Phone (248) 552-8195

445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

820 Bear Tavern Rd
Ewing, NJ 08628
Phone (415) 205-1229

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

500 N Rainbow Blvd
Ste 300
Las Vegas, NV 89107
Phone (702) 389-1148

236 5th Ave
Fl 4
New York, NY 10001
Phone (212) 686-0587

236 5th Ave
Ste 400
New York, NY 10001
Phone (866) 351-5907

18 Campus Blvd
Ste 100
Newtown Square, PA 19073
Phone (484) 680-7575

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3710

506 2nd Ave
Ste 1400
Seattle, WA 98104
Phone (281) 698-5816

811 E Washington Ave
Ste 400
Madison, WI 53703
Phone (425) 522-2853

Interoperability endpoints

  • Direct secure messaging: maria.ablao@337577483108356.direct.elationemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1265053516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W MACCLENNY AVE",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632029",
            "telephone_number": "904-259-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BUSCH DR # 26123",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322185547",
            "telephone_number": "904-502-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLAO",
        "first_name": "MARIA",
        "middle_name": "CARMELA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2023-04-05",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.