Individual provider Active NPI

Marilyn Bellamy, ARNP

  • Gerontology Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1891241535
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
ARNP9311998 Issued in FL
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

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170705002873 FL Practitioner - Nurse Practitioner 7517236615 Reassigns benefits to 7 organizations

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
Cardiac Vision LLCGroup PAC ID 9032349733, 66 clinicians

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

LicenseStateTypeSpecialty
ARNP9311998FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mana Health Partners PA CurrentSince Dec 1, 2023 Accepting new patients
Vitae Health Medical Florida PLLC CurrentSince Mar 1, 2022 Accepting new patients
Post Acute Care Leaders-Florida LLC CurrentSince Apr 1, 2020 Accepting new patients
Clinicare Clinical Services, Inc. CurrentSince Jul 5, 2023 Accepting new patients
Renew Wound Care of Florida LLC CurrentSince Oct 2, 2024 Accepting new patients
Pi: Prevention and Intervention Wound Care and Dermatological Services CurrentSince Oct 10, 2021 Accepting new patients
Cardiac Vision LLC CurrentSince Jan 13, 2025 Accepting new patients
Careconnectmd Florida P.a. CurrentSince Aug 1, 2024 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.

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

Verify at the official NPI Registry.