Maria B Clerville, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11016077 Issued in FL

Practice address

885 N Powers Dr Ste D
Orlando, FL 32818-6842

Phone

(407) 270-7338

Fax

(407) 270-9486

NPI assigned

Mar 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clerjo Primary Care and Spa LLCGroup PAC ID 2466802392, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maria.clerville.1@30417.direct.athenahealth.com

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.

• Clerjo Primary Care and Spa LLC

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1639854045
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1740937374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 N POWERS DR STE D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186842",
            "telephone_number": "407-270-7338",
            "fax_number": "407-270-9486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 N POWERS DR STE D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186842",
            "telephone_number": "407-270-7338",
            "fax_number": "407-270-9486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERVILLE",
        "first_name": "MARIA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8474214",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115469000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "UIB8F",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9180180",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kareen Clerge
• Clerjo Primary Care and Spa LLC
• Christlove Clermont
• Kathleen Johane Clermont
• Theophane Clervil, RN
• Emmanuel Mercado Cleto Jr., M.D.
• Renee M Cleveland, MD
• Clifford Adam Medical Center, LLC
• Casey Dwane Clifton, ARNP
• Gregory Kyle Clifton, AU.D.

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.