Active NPI
Maximillian Luke Covert, APRN
- Acute Care Nurse Practitioner
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 9490053
- Practice address
- 1301 2ND Ave SW Ste 315
Largo, FL 33770-3120 - Phone
- (727) 587-7120
- Fax
- (727) 585-6850
- NPI assigned
- Sep 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN9490053 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN9490053 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN9490053 | FL | |
| Acute Care Nurse Practitioner | 363LA2100X | 9490053 | FL | Primary |
Addresses
Primary practice location
1301 2ND Ave SW Ste 315
Largo, FL 33770-3120
Mailing address
6250 Park Blvd N
Pinellas Park, FL 33781-3237
Phone (727) 541-2520
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9490053 | FL | MD | Acute Care Nurse Practitioner |
| APRN9490053 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Rehabilitation and Wellness Center Inc | Current | Accepting new patients | |
| Community Hospital Family Practice LLC | Current | Accepting new patients | |
| Gulf Coast Physical Medicine, Inc. | Past | Accepting new patients |
Locations
7515 State Road 52
Ste 102
Hudson, FL 34667
Phone (727) 842-3322
1301 2nd Ave SW
Ste 315
Largo, FL 33770
Phone (727) 587-7120
2385 Tampa Rd
Ste 1
Palm Harbor, FL 34683
Phone (727) 541-2520
6250 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 541-2520
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 3
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.
-
dba Northpointe Physicians Group
- Geriatric Medicine (Family Medicine) Physician
- Brooksville, FL
- NPI 1902094857
-
- Chiropractor
- Pinellas Park, FL
- NPI 1922297977
-
- Chiropractor
- Pinellas Park, FL
- NPI 1902081649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1356825632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6250 PARK BLVD N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337813237",
"telephone_number": "727-541-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 2ND AVE SW STE 315",
"city": "LARGO",
"state": "FL",
"postal_code": "337703120",
"telephone_number": "727-587-7120",
"fax_number": "727-585-6850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVERT",
"first_name": "MAXIMILLIAN",
"middle_name": "LUKE",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-21",
"last_updated": "2022-02-22",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN9490053",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN9490053",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN9490053",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "9490053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
- Tiffany Coulter
- County of Pinellas Board of County Commissioners (Pinellas County Emergency Medical Services (d.b.a. Sunstar EMS))
- Dani Marie Courbat, RBT
- Barbara J Courson, ARNP
- Monica Couture
- Courtney Cox
- Lindsey Cox, PA-C
- Elizabeth Julie Coy, OTR/L
- Catherine Louise Cozad, M.D.
- CP Bracing Supply, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.