Active NPI
Mary Carmen Valdez, FNP
- Family Nurse Practitioner
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11034173
- Practice address
- 16348 Cortez Blvd
Brooksville, FL 34601-8980 - Phone
- (352) 476-7147
- NPI assigned
- Jul 23, 2024
- Last updated
- Jul 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11034173 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Wound Care, LLC | Current | Accepting new patients | |
| Healnexxt Woundcare LLC | Current | Accepting new patients | |
| Post Acute Specialists of Florida PLLC | Family | Current | 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.
-
- Wound Care Registered Nurse
- Tampa, FL
- NPI 1356036354
-
- Nurse Practitioner
- Lakeland, FL
- NPI 1942013032
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1144651373
-
- Internal Medicine Physician
- Bradenton, FL
- NPI 1992571608
Family
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.