Individual provider Active NPI

Mansi Patel

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1639803554
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11019946 Issued in FL
Practice address
4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907
Phone
(813) 975-2800
Fax
(813) 977-7924
NPI assigned
Jul 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11019946 FL Primary

Addresses

Primary practice location

4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907

Mailing address

4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907
Phone (813) 975-2800

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
I20230316001200 FL Practitioner - Nurse Practitioner 3476927310 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019946FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vasco M Marques MD PA CurrentSince Apr 1, 2023 Accepting new patients
Jonathan Alvior MD LLC PastSince Jul 1, 2022 Accepting new patients

Locations

3010 E 138th Ave
Ste 12
Tampa, FL 33613
Phone (813) 975-2800

4450 E Fletcher Ave
Ste C
Tampa, FL 33613
Phone (813) 524-5106

2136 Ashley Oaks Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 975-2800

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1639803554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 E FLETCHER AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134907",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 E FLETCHER AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134907",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MANSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11019946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.