Active NPI
Melissa Marte, APRN
- Family Nurse Practitioner
- St. Petersburg, FL
National Provider Identifier
1659906816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11005686
- Practice address
- 5500 Dr. MLK Jr St N
St. Petersburg, FL 33703-1204 - Phone
- (727) 210-8391
- Fax
- (727) 522-2574
- NPI assigned
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11005686 | FL | Primary |
Addresses
Primary practice location
5500 Dr. MLK Jr St N
St. Petersburg, FL 33703-1204
Mailing address
1839 Central Ave
St. Petersburg, FL 33713-8900
Phone (727) 322-1054
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114745300 | Medicaid | FL | |
| NUK33 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11005686 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Health Care of Pinellas Inc. | Current | Accepting new patients | |
| Professional Health Care of Pinellas LLC | Single Specialty | Current | Accepting new patients |
Locations
5500 Mlk Jr St N
St Petersburg, FL 33703
Phone (727) 525-5500
1839 Central Ave
St Petersburg, FL 33713
Phone (727) 322-1054
6336 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 640-0060
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIJHAA
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.
-
- Chiropractor
- St Petersburg, FL
- NPI 1568970903
-
- Internal Medicine Physician
- St Petersburg, FL
- NPI 1881647253
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1659906816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 CENTRAL AVE",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337138900",
"telephone_number": "727-322-1054",
"fax_number": "727-821-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 DR. MLK JR ST N",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337031204",
"telephone_number": "727-210-8391",
"fax_number": "727-522-2574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTE",
"first_name": "MELISSA",
"name_prefix": "Miss",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2024-11-08",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11005686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114745300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NUK33",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.