Individual provider Active NPI

Mary L. Dennis X, ARNP

  • Acute Care Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1326448093
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN9303547 Issued in FL
Practice address
1350 13TH Ave S
Jacksonville, FL 32250-3203
Phone
(904) 627-2900
NPI assigned
Aug 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X GAA-NP000710 GA
Acute Care Nurse Practitioner 363LA2100X APRN9303547 FL Primary

Addresses

Primary practice location

1350 13TH Ave S
Jacksonville, FL 32250-3203

Mailing address

7605 Hibiscus Rd
Fort Pierce, FL 34951-1744
Phone (772) 979-2322

Other practice location 1

7605 Hibiscus Rd
Fort Pierce, FL 34951-1744
Phone (772) 979-2322

Other names 1

  • Mary Lou Dennis Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240719000914 CO Practitioner - Nurse Practitioner 6103148408 Reassigns benefits to 1 organization
I20250126000158 VA Practitioner - Nurse Practitioner 6103148408 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 932-4075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9303547FLMDAcute Care Nurse Practitioner
GAA-NP000710GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jul 13, 2023 Accepting new patients
Augusta Medical Group CurrentSince Sep 8, 2025 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Apr 4, 2022 Accepting new patients
Wildwood Physician Services, LLC CurrentSince Dec 15, 2024 Accepting new patients
Colorado Hospitalist Services, PLLC CurrentSince Jun 9, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 22, 2017 Accepting new patients
Colorado Hospitalist Services, PLLC Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Apr 4, 2022 Accepting new patients
Lake Spring Physician Services, LLC CurrentSince Dec 15, 2024 Accepting new patients
Indian River Health Services Inc CurrentSince Jan 22, 2017 Accepting new patients
Augusta Medical Group CurrentSince Sep 8, 2025 Accepting new patients

Locations

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1000 36th St
Ste 2322
Vero Beach, FL 32960

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

200 Corporate Blvd
Lafayette, LA 70508

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

Organizations & group practices 11

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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1326448093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 HIBISCUS RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349511744",
            "telephone_number": "772-979-2322",
            "fax_number": "772-464-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 13TH AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322503203",
            "telephone_number": "904-627-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7605 Hibiscus Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349511744",
            "country_code": "US",
            "telephone_number": "772-979-2322",
            "fax_number": "772-464-3053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "MARY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "name_suffix": "X",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "GAA-NP000710",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN9303547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DENNIS",
            "middle_name": "LOU",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.