Active NPI
Maryana Henson, ARNP
- Nurse Practitioner
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9308838
- Practice address
- 3600 Oak Manor LN Apt 46
Largo, FL 33774-1214 - Phone
- (727) 489-3305
- Fax
- (727) 499-9559
- NPI assigned
- Jul 11, 2015
- Last updated
- Apr 16, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | ARNP9308838 | FL | Primary |
Addresses
Primary practice location
3600 Oak Manor LN Apt 46
Largo, FL 33774-1214
Mailing address
3600 Oak Manor LN. #46
Largo, FL 33774
Phone (727) 504-2792
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 W Bay Dr
Suite 605
Largo, FL 33770-3268
Phone (727) 489-3305
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9308838 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Based Long Term Care F PC | Current | Accepting new patients | |
| Careconnectmd Florida P.a. | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264
801 West Bay Dr
Ste 605
Largo, FL 33770
Phone (727) 489-3305
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Largo, FL
- NPI 1831921360
-
- Multi-Specialty Clinic/Center
- Largo, FL
- NPI 1881942779
-
- Geriatric Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1912632886
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Largo, FL
- NPI 1417417940
-
dba Pinnacle Home Care
- Home Health Agency
- Oldsmar, FL
- NPI 1689600082
-
- Community Based Hospice Care Agency
- Palm Harbor, FL
- NPI 1124028204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1417331273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 OAK MANOR LN. #46",
"city": "LARGO",
"state": "FL",
"postal_code": "33774",
"telephone_number": "727-504-2792",
"fax_number": "727-499-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 OAK MANOR LN APT 46",
"city": "LARGO",
"state": "FL",
"postal_code": "337741214",
"telephone_number": "727-489-3305",
"fax_number": "727-499-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "MARYANA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-11",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9308838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.