Individual provider Active NPI

Mary Carmen Valdez, FNP

  • Family Nurse Practitioner
  • Brooksville, FL
National Provider Identifier
1346078128
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11034173 Issued in FL
Practice address
16348 Cortez Blvd
Brooksville, FL 34601-8980
Phone
(352) 476-7147
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11034173 FL Primary

Addresses

Primary practice location

16348 Cortez Blvd
Brooksville, FL 34601-8980

Mailing address

14288 Bensbrook Dr
Spring Hill, FL 34609-0442
Phone (352) 476-7147

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
I20241008003609 FL Practitioner - Nurse Practitioner 6709317282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healnexxt Woundcare LLCGroup PAC ID 3779003983, 12 clinicians
Advanced Wound Care, LLCGroup PAC ID 7214394972, 21 clinicians
Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians

Practice addresses (Care Compare)

211 E Main St
Lakeland, FL 33801-4628
Phone (863) 860-8093

2203 N Lois Ave
Suite 814
Tampa, FL 33607-2388
Phone (813) 608-5633

6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11034173FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Care, LLC CurrentSince Aug 31, 2024 Accepting new patients
Healnexxt Woundcare LLC CurrentSince Jan 19, 2026 Accepting new patients
Post Acute Specialists of Florida PLLC Family CurrentSince Jun 23, 2025 Accepting new patients

Locations

211 E Main St
Lakeland, FL 33801
Phone (863) 225-9555

2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060

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, 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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1346078128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14288 BENSBROOK DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090442",
            "telephone_number": "352-476-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16348 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018980",
            "telephone_number": "352-476-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "MARY",
        "middle_name": "CARMEN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.