Active NPI
Marilyn Bellamy, ARNP
- Gerontology Nurse Practitioner
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- ARNP9311998
- Practice address
- 4627 1St Ave N
St Petersburg, FL 33713-8103 - Phone
- (727) 215-4037
- NPI assigned
- Sep 1, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | ARNP9311998 | FL | Primary |
Addresses
Primary practice location
4627 1St Ave N
St Petersburg, FL 33713-8103
Mailing address
4627 1St Ave N
St Petersburg, FL 33713-8103
Phone (727) 215-4037
Other practice location 1
1839 Central Ave
St Petersburg, FL 33713-8900
Phone (727) 820-1040
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6817 Southpoint Pkwy
Suite 203
Jacksonville, FL 32216-6286
Phone (904) 231-1204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9311998 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mana Health Partners PA | Current | Accepting new patients | |
| Vitae Health Medical Florida PLLC | Current | Accepting new patients | |
| Post Acute Care Leaders-Florida LLC | Current | Accepting new patients | |
| Clinicare Clinical Services, Inc. | Current | Accepting new patients | |
| Renew Wound Care of Florida LLC | Current | Accepting new patients | |
| Pi: Prevention and Intervention Wound Care and Dermatological Services | Current | Accepting new patients | |
| Cardiac Vision LLC | Current | Accepting new patients | |
| Careconnectmd Florida P.a. | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
2112 Sunnydale Blvd
Ste B
Clearwater, FL 33765
Phone (727) 796-2904
7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204
6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202
3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185
1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527
3825 Countryside Blvd N
Palm Harbor, FL 34684
Phone (727) 781-1402
1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336
2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700
4610 S Manhattan Ave
Tampa, FL 33611
Phone (813) 752-7000
1755 37th St
Vero Beach, FL 32960
Phone (770) 567-2443
925 North Point Pkwy
Ste 425
Alpharetta, GA 30005
Phone (678) 593-3332
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
338 Whitesville Rd
Ste 103
Jackson, NJ 08527
1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1144651373
-
- Geriatric Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1912632886
-
- Nurse Practitioner
- Clearwater, FL
- NPI 1609818145
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1437925047
-
- Nursing Care Agency
- Tampa, FL
- NPI 1396313110
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1811631591
-
- Internal Medicine Physician
- Rockledge, FL
- NPI 1013562024
-
- Nurse Practitioner
- Vero Beach, FL
- NPI 1578119194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1891241535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4627 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138103",
"telephone_number": "727-215-4037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4627 1ST AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337138103",
"telephone_number": "727-215-4037"
}
],
"practiceLocations": [
{
"address_1": "1839 Central Ave",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337138900",
"country_code": "US",
"telephone_number": "727-820-1040",
"fax_number": "727-821-7213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLAMY",
"first_name": "MARILYN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "ARNP9311998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.