Individual provider Active NPI

Maritza Kandzer, MSN, PMHNP, AGPCNP

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1801653621
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11031585 Issued in FL
Practice address
3637 4TH St N Ste 480
St Petersburg, FL 33704-1337
Phone
(727) 894-2341
NPI assigned
Feb 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11031585 FL Primary

Addresses

Primary practice location

3637 4TH St N Ste 480
St Petersburg, FL 33704-1337

Mailing address

3637 4TH St N Ste 480
St Petersburg, FL 33704-1337

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
I20240507003441 FL Practitioner - Nurse Practitioner 7315388444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9354641FLMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical Florida PLLC CurrentSince Mar 1, 2025 Accepting new patients
Rafael Beltran MD PA Past Accepting new patients

Locations

4610 S Manhattan Ave
Tampa, FL 33611
Phone (813) 752-7000

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

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1801653621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 4TH ST N STE 480",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 4TH ST N STE 480",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041337",
            "telephone_number": "727-894-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDZER",
        "first_name": "MARITZA",
        "credential": "MSN, PMHNP, AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11031585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.