Individual provider Active NPI

Wilhelm K. Martezian, ARNP-C

  • Adult Health Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1891905477
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9290514 Issued in FL
Practice address
1725 Pointe West Way
Vero Beach, FL 32966-2448
Phone
(772) 907-5935
Fax
(772) 408-9304
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9290514 FL Primary

Addresses

Primary practice location

1725 Pointe West Way
Vero Beach, FL 32966-2448

Mailing address

1725 Pointe West Way
Vero Beach, FL 32966-2448
Phone (772) 907-5935

Other identifiers 1

IdentifierTypeStateIssuer
004218200MedicaidFL

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
I20110217000696 FL Practitioner - Nurse Practitioner 9335223833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

2100 10TH Ave
Vero Beach, FL 32960-5377
Phone (772) 365-4539

4407 6TH St SW
Vero Beach, FL 32968-4061
Phone (772) 907-5935

514 SE Port St Lucie Blvd
Port Saint Lucie, FL 34984-5108
Phone (772) 871-5900

Hospital & facility affiliations

  • NHC Homecare Home health agency, Vero Beach, FL, CCN 107515
  • Concierge Home Care Home health agency, Port Saint Lucie, FL, CCN 687163

Merit-based Incentive Payment System (MIPS)

Final score
61.25 of 100Reported as individual
Quality
75
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304018NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Care Medicine, LLC Adult Health CurrentSince Dec 1, 2011 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Feb 2, 2026 Accepting new patients
Vero Orthopaedics II PA PastSince Aug 28, 2021 Accepting new patients

Locations

6221 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 491-1686

440 W 49th St
Hialeah, FL 33012
Phone (305) 828-5000

514 SE Port St Lucie Blvd
Port St Lucie, FL 34984
Phone (772) 871-5900

10380 SW Village Center Dr
Port St Lucie, FL 34987
Phone (772) 485-3695

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: wilhelm.martezian@8536008294404.direct.elationemr.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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1891905477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 POINTE WEST WAY",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329662448",
            "telephone_number": "772-907-5935",
            "fax_number": "772-408-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 POINTE WEST WAY",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329662448",
            "telephone_number": "772-907-5935",
            "fax_number": "772-408-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTEZIAN",
        "first_name": "WILHELM",
        "middle_name": "K.",
        "name_prefix": "Mr.",
        "credential": "ARNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9290514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004218200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.