Individual provider Active NPI

Mairelys Elvira Olivera Trujillo, APRN-FNP-C

  • Nurse Practitioner
  • Naples, FL
National Provider Identifier
1477424497
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11042156 Issued in FL
Practice address
4023 14TH Ave SE
4023 14TH Ave SE
Naples, FL 34117-9106
Phone
(239) 465-5692
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11042156 FL Primary

Addresses

Primary practice location

4023 14TH Ave SE
4023 14TH Ave SE
Naples, FL 34117-9106

Mailing address

4023 14TH Ave SE
4023 14TH Ave SE
Naples, FL 34117-9106
Phone (239) 465-5692

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
I20260123001955 FL Order and Referring Only - Nurse Practitioner 7113404898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11042156FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1477424497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 14TH AVE SE",
            "address_2": "4023 14TH AVE SE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341179106",
            "telephone_number": "239-465-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 14TH AVE SE",
            "address_2": "4023 14TH AVE SE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341179106",
            "telephone_number": "239-465-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERA TRUJILLO",
        "first_name": "MAIRELYS",
        "middle_name": "ELVIRA",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11042156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.