Individual provider Active NPI

Mayelin Perez Reina, NP

  • Family Nurse Practitioner
  • Saint Petersburg, FL
National Provider Identifier
1831909985
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11037447 Issued in FL
Practice address
960 58TH St N
Saint Petersburg, FL 33710-6325
Phone
(727) 820-7778
Fax
(727) 820-7779
NPI assigned
Jan 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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 APRN11037447 FL Primary

Addresses

Primary practice location

960 58TH St N
Saint Petersburg, FL 33710-6325

Mailing address

960 58TH St N
Saint Petersburg, FL 33710-6325
Phone (727) 820-7778

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
I20250716000074 FL Practitioner - Nurse Practitioner 2961917281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Vida Medical Group IncGroup PAC ID 2769880350, 3 clinicians
Wellmed Medical Management of Florida IncGroup PAC ID 3971678558, 158 clinicians

Practice addresses (Care Compare)

120 State St E
Suite 101
Oldsmar, FL 34677-3647
Phone (813) 296-6266

960 58TH St N
Wellmed at Tyrone Gardens
St. Petersburg, FL 33710-6325
Phone (727) 820-7778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11037447FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince Jul 13, 2025 Accepting new patients
La Vida Medical Group , Inc CurrentSince Apr 1, 2026 Accepting new patients
La Vida Medical Group , Inc CurrentSince Apr 1, 2026 Accepting new patients

Locations

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

120 State St E
Ste 101
Oldsmar, FL 34677
Phone (813) 296-6266

960 58th St N
St Petersburg, FL 33710
Phone (727) 820-7778

2155 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-9630

3802 Gunn Hwy
Ste A
Tampa, FL 33618
Phone (813) 296-6266

3802 Gunn Hwy
Tampa, FL 33618
Phone (813) 296-6266

5537 Sheldon Rd
Ste K
Tampa, FL 33615
Phone (407) 889-4711

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.

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1831909985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 58TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337106325",
            "telephone_number": "727-820-7778",
            "fax_number": "727-820-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 58TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337106325",
            "telephone_number": "727-820-7778",
            "fax_number": "727-820-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ REINA",
        "first_name": "MAYELIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11037447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.