Individual provider Active NPI

Mariah A Bortolin, APRN

  • Family Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1710752639
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11029535 Issued in FL
Practice address
7760 Curley Rd Ste 101
Wesley Chapel, FL 33545-9153
Phone
(813) 751-3700
Fax
(813) 377-1398
NPI assigned
Nov 21, 2023
Last updated
Nov 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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 APRN11029535 FL Primary

Addresses

Primary practice location

7760 Curley Rd Ste 101
Wesley Chapel, FL 33545-9153

Mailing address

38135 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (352) 567-0188

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
I20240125004283 FL Practitioner - Nurse Practitioner 4486007408 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Florida PLLCGroup PAC ID 6204166762, 31 clinicians

Practice addresses (Care Compare)

3127 57TH Ave N
St Petersburg, FL 33714-1320
Phone (727) 527-2171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Florida PLLC CurrentSince Mar 1, 2025 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Apr 1, 2024 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Feb 19, 2024 Accepting new patients
Florida Medical Clinic LLC CurrentSince Feb 19, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

3127 57th Ave N
St Petersburg, FL 33714
Phone (727) 527-2171

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

7760 Curley Rd
Ste 101
Wesley Chapel, FL 33545
Phone (813) 751-3700

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

Organizations & group practices 5

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1710752639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQUARE DR",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "352-567-0188",
            "fax_number": "813-355-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 CURLEY RD STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335459153",
            "telephone_number": "813-751-3700",
            "fax_number": "813-377-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTOLIN",
        "first_name": "MARIAH",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.