Individual provider Active NPI

Mary Virginia Van Arsdall, CNM

  • Advanced Practice Midwife
  • Vero Beach, FL
National Provider Identifier
1447889522
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11014500 Issued in FL
Practice address
1000 36TH St
Vero Beach, FL 32960-4862
Phone
(772) 770-6116
NPI assigned
Apr 2, 2020
Last updated
Jul 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11014500 FL Primary

Addresses

Primary practice location

1000 36TH St
Vero Beach, FL 32960-4862

Mailing address

1000 36TH St
Vero Beach, FL 32960-4862
Phone (772) 770-6116

Other practice location 1

1050 37th Pl
Vero Beach, FL 32960-6501
Phone (772) 770-6116

Other identifiers 2

IdentifierTypeStateIssuer
MW0272MedicaidSC
Q678873365OtherSCMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211006000476 TN Practitioner - Certified Nurse Midwife (CNM) 0749602084 Reassigns benefits to 1 organization
I20231018000275 FL Practitioner - Certified Nurse Midwife (CNM) 0749602084 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Jack M Rowland, MD, LLC CurrentSince Oct 1, 2021 Accepting new patients
Indian River Health Services Inc CurrentSince Oct 9, 2023 Accepting new patients
Indian River Health Services Inc CurrentSince Oct 9, 2023 Accepting new patients
Indian River Health Services Inc Past Accepting new patients

Locations

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1050 37th Pl
Ste 101
Vero Beach, FL 32960
Phone (772) 563-4673

1000 36th St
Ste 5105
Vero Beach, FL 32960

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

1032 McCallie Ave
Ste 310
Chattanooga, TN 37403
Phone (423) 266-6116

1511 Gunbarrel Rd
Ste 111
Chattanooga, TN 37421
Phone (423) 553-5999

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1447889522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "772-770-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604862",
            "telephone_number": "772-770-6116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 37th Pl",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329606501",
            "country_code": "US",
            "telephone_number": "772-770-6116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN ARSDALL",
        "first_name": "MARY",
        "middle_name": "VIRGINIA",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11014500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MW0272",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "Q678873365",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.