Active NPI
Mary Jane Alcantara Venzon, ARNP
- Nurse Practitioner
- Winter Park, FL
National Provider Identifier
1821489204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9404408
- Practice address
- 2304 Aloma Ave Ste 100
Winter Park, FL 32792-3330 - Phone
- (407) 679-9222
- Fax
- (407) 679-9061
- NPI assigned
- Feb 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN9404408 | FL | Primary |
| Nurse Practitioner | 363L00000X | H119413 | IA |
Addresses
Primary practice location
2304 Aloma Ave Ste 100
Winter Park, FL 32792-3330
Mailing address
2304 Aloma Ave Ste 100
Winter Park, FL 32792-3330
Phone (407) 679-9222
Other practice location 1
115 8th St NE
Cedar Rapids, IA 52401-1013
Phone (319) 363-3565
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151130001078 | FL | Practitioner - Nurse Practitioner | 4789901992 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth Primary Care Network Inc | Current | Accepting new patients | |
| Metcare of Florida, Inc | Past | Accepting new patients | |
| Southwest Volusia Healthcare Corporation | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040
1070 N Stone St
Ste A
Deland, FL 32720
Phone (386) 943-7100
Interoperability endpoints
- mvenzon71022@adventhealth.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Internal Medicine Physician
- Hialeah, FL
- NPI 1902893225
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1346424165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1821489204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2304 ALOMA AVE STE 100",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923330",
"telephone_number": "407-679-9222",
"fax_number": "407-679-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 ALOMA AVE STE 100",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923330",
"telephone_number": "407-679-9222",
"fax_number": "407-679-9061"
}
],
"practiceLocations": [
{
"address_1": "115 8th St NE",
"address_purpose": "LOCATION",
"city": "Cedar Rapids",
"state": "IA",
"postal_code": "524011013",
"country_code": "US",
"telephone_number": "319-363-3565",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENZON",
"first_name": "MARY JANE",
"middle_name": "ALCANTARA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9404408",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "H119413",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.