Individual provider Active NPI

Susen E Trevelino, FNP

  • Family Nurse Practitioner
  • Odessa, FL
National Provider Identifier
1730876665
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11025908 Issued in FL
Practice address
16802 Taylow Way
Odessa, FL 33556-6059
Phone
(910) 489-3345
NPI assigned
Apr 20, 2023
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 11025908 FL Primary

Addresses

Primary practice location

16802 Taylow Way
Odessa, FL 33556-6059

Mailing address

16802 Taylow Way
Odessa, FL 33556-6059
Phone (910) 489-3345

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
I20230609002316 FL Practitioner - Nurse Practitioner 7214394014 Reassigns benefits to 1 organization

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
Ivx Health of Florida PAGroup PAC ID 8426470626, 47 clinicians

Practice addresses (Care Compare)

25930 Sierra Ctr Blvd
Suite 9
Lutz, FL 33559-7609
Phone (813) 337-0215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11025908FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Florida, P.a. CurrentSince Jun 5, 2023 Accepting new patients
Infusion Express of Kansas LLC Past Accepting new patients

Locations

293 E Altamonte Dr
Ste 1201
Altamonte Springs, FL 32701
Phone (407) 392-3171

21740 S Tamiami Trl
Ste 106
Estero, FL 33928
Phone (239) 213-3610

25930 Sierra Center Blvd
Ste 9
Lutz, FL 33559
Phone (813) 337-0215

214 Centerview Dr
Ste 250
Brentwood, TN 37027
Phone (847) 420-0686

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, 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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1730876665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16802 TAYLOW WAY",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335566059",
            "telephone_number": "910-489-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16802 TAYLOW WAY",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335566059",
            "telephone_number": "910-489-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVELINO",
        "first_name": "SUSEN",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

Verify at the official NPI Registry.