Individual provider Active NPI

Rita M Malpedo, ARNP

  • Nurse Practitioner
  • Venice, FL
National Provider Identifier
1336674043
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9302726 Issued in FL
Practice address
600 Nokomis Ave S Ste 102&203
Venice, FL 34285
Phone
(941) 486-6979
Fax
(941) 486-6964
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 ARNP9302726 FL Primary

Addresses

Primary practice location

600 Nokomis Ave S Ste 102&203
Venice, FL 34285

Mailing address

600 Nokomis Ave S Ste 102&203
Venice, FL 34285-3209
Phone (941) 486-6979

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rita.malpedo.1@4692.direct.athenahealth.com

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
I20170531000445 FL Practitioner - Nurse Practitioner 8820365596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

1065 Tamiami TRL N
Nokomis, FL 34275-2144
Phone (941) 477-2364

1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone (941) 917-9000

171 Ctr Rd
Venice, FL 34285-5572
Phone (941) 499-5407

177 Ctr Rd
Venice, FL 34285-5572
Phone (941) 207-5350

19531 Cochran Blvd
Port Charlotte, FL 33948-2081
Phone (941) 255-3535

2600 Laurel Rd E
Nokomis, FL 34275-3226
Phone (941) 261-9000

2675 Winkler Ave
Fort Myers, FL 33901-9328

2675 Winkler Avenue
Suite 200
Fort Myers, FL 33901-9328

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc CurrentSince May 1, 2017 Accepting new patients
Millennium Physician Group LLC CurrentSince Nov 1, 2021 Accepting new patients
Inpatient Consultants of Florida, Inc Nurse Practitioner CurrentSince May 1, 2017 Accepting new patients
Millennium Physician Group LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

2343 Aaron St
Pt Charlotte, FL 33952
Phone (855) 979-5700

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3901 Coconut Palm Dr
Ste 120
Tampa, FL 33619
Phone (813) 289-6597

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: rita.malpedo.1@4290.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1336674043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NOKOMIS AVE S STE 102&203",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853209",
            "telephone_number": "941-486-6979",
            "fax_number": "941-486-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NOKOMIS AVE S STE 102&203",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34285",
            "telephone_number": "941-486-6979",
            "fax_number": "941-486-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALPEDO",
        "first_name": "RITA",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9302726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rita.malpedo.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "600 Nokomis Ave S Ste 102&203",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.