Individual provider Active NPI

Anilsy Pando

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1700681624
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11037732 Issued in FL
Practice address
2123 W Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33607-6545
Phone
(813) 488-4801
NPI assigned
Feb 14, 2025
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 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 11037732 FL Primary

Addresses

Primary practice location

2123 W Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33607-6545

Mailing address

2123 W Dr Martin Luther King Jr Blvd Ste 101
Tampa, FL 33607-6545
Phone (813) 488-4801

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
I20250506003748 FL Practitioner - Nurse Practitioner 9739514233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nodal Medical Center LLCGroup PAC ID 3577838549, 4 clinicians

Practice addresses (Care Compare)

2123 W Martin Luther King Jr Blvd
Suite 101
Tampa, FL 33607-6545
Phone (813) 488-4801

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11037732FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nodal Medical Center LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

11031 US Highway 19
Ste 102
Port Richey, FL 34668
Phone (727) 819-1610

2123 W Mlk Blvd
Ste 101
Tampa, FL 33607
Phone (813) 405-4385

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Homecare at Best CorpTampa, FL, CCN 687326 Home health agency Corporate Director
W-2 Managing Employee
Jun 26, 2023
Jun 26, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1700681624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-488-4801",
            "fax_number": "813-405-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W DR MARTIN LUTHER KING JR BLVD STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-488-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDO",
        "first_name": "ANILSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11037732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.