Individual provider Active NPI

Maria Auxiliadora Painter, DNP, AGNP-BC

  • Nurse Practitioner
  • Polk City, FL
National Provider Identifier
1275032997
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11011728 Issued in FL
Practice address
104 Commonwealth Ave N Ste 3
Polk City, FL 33868-9500
Phone
(616) 309-3153
NPI assigned
Feb 8, 2018
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 11011728 FL Primary

Addresses

Primary practice location

104 Commonwealth Ave N Ste 3
Polk City, FL 33868-9500

Mailing address

132 V Matt Williams Blvd
Polk City, FL 33868-9273
Phone (616) 309-3153

Other names 1

  • Dr. Maria Auxiliadora Flores Former name

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
I20210625002481 FL Practitioner - Nurse Practitioner 4385904309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 Commonwealth Ave N
Suite 3
Polk City, FL 33868-9500
Phone (863) 371-9888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011728FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Education Central LLC CurrentSince Mar 11, 2025 Accepting new patients
WHC of Florida PLLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

28 N Palafox St
Pensacola, FL 32502
Phone (239) 205-1212

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1275032997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 V MATT WILLIAMS BLVD",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "338689273",
            "telephone_number": "616-309-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COMMONWEALTH AVE N STE 3",
            "city": "POLK CITY",
            "state": "FL",
            "postal_code": "338689500",
            "telephone_number": "616-309-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "MARIA",
        "middle_name": "AUXILIADORA",
        "credential": "DNP,  AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11011728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "FLORES",
            "middle_name": "AUXILIADORA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Polk City, FL

Sources for this page

Verify at the official NPI Registry.