Individual provider Active NPI

Mary Arlene Romero

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1407592264
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN11027289 Issued in FL
Practice address
708 Goodlette-Frank Rd N
Naples, FL 34102-5644
Phone
(239) 291-7005
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9463070 FL
Family Nurse Practitioner 363LF0000X RN11027289 FL Primary

Addresses

Primary practice location

708 Goodlette-Frank Rd N
Naples, FL 34102-5644

Mailing address

8626 Pebblebrooke Dr
Naples, FL 34119-9715
Phone (239) 963-5203

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
I20230815002229 FL Practitioner - Nurse Practitioner 3072975523 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9463070FLMDRegistered Nurse
RN11027289FLMDFamily Nurse Practitioner

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Meliora Healthcare, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Millennium Physician Group LLC PastSince Jul 1, 2023 Accepting new patients

Locations

708 Goodlette Rd
Naples, FL 34102
Phone (239) 291-7005

708 Goodlette Rd
Fl 2
Naples, FL 34102
Phone (239) 212-0824

708 Goodlette Rd
#2
Naples, FL 34102
Phone (239) 920-4503

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mary.romero.1@29169.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/29169/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1407592264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8626 PEBBLEBROOKE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199715",
            "telephone_number": "239-963-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 GOODLETTE-FRANK RD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025644",
            "telephone_number": "239-291-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MARY",
        "middle_name": "ARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9463070",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN11027289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.