Organization Active NPI

Aevr Wellness

  • Family Nurse Practitioner
  • Lutz, FL
National Provider Identifier
1538052576
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
AEVR WELLNESS
Practice address
18514 N Dale Mabry Hwy
Lutz, FL 33548-7900
Phone
(813) 585-9149
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Maribel MoraNPI 1215508767
Title
Owner
Phone
(813) 585-9149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

18514 N Dale Mabry Hwy
Lutz, FL 33548-7900

Mailing address

18514 N Dale Mabry Hwy
Lutz, FL 33548-7900
Phone (813) 585-9149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250811002342 FL Part B Supplier - Clinic/Group Practice 1456859206 Receives reassigned benefits from 1 practitioner
Practice locations: Lutz, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1538052576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18514 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335487900",
            "telephone_number": "813-585-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18514 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335487900",
            "telephone_number": "813-585-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEVR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-585-9149"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.