Individual provider Active NPI

Mirtha Alvarez Acevedo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1902268170
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9302725 Issued in FL
Practice address
301 3Rd St NW Ste 208
Winter Haven, FL 33881-4094
Phone
(863) 364-4711
Fax
(863) 875-2001
NPI assigned
Mar 25, 2016
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 9302725 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9302725 FL Primary

Addresses

Primary practice location

301 3Rd St NW Ste 208
Winter Haven, FL 33881-4094

Mailing address

301 3Rd St NW Ste 208
Winter Haven, FL 33881-4094
Phone (863) 364-4711

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
I20161105000015 FL Practitioner - Nurse Practitioner 6507144946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida Atlantic University, College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 3Rd St NW
Suite 208
Winter Haven, FL 33881-4094

7623 State Rd
Suite 653
Winter Haven, FL 33884

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9302725FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Management of Florida Inc CurrentSince May 9, 2016 Accepting new patients
Soul Solutions Psychiatric & Counseling Services, PA Current Accepting new patients

Locations

2020 Flamingo Dr
Bartow, FL 33830
Phone (863) 533-4104

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

4740 Exploration Ave
Lakeland, FL 33812
Phone (863) 666-9020

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

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

301 3rd St NW
Ste 208
Winter Haven, FL 33881
Phone (863) 364-4711

Interoperability endpoints

  • Direct secure messaging: mirtha.alvarezacevedo@wellmed.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1902268170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 3RD ST NW STE 208",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814094",
            "telephone_number": "863-364-4711",
            "fax_number": "863-875-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 3RD ST NW STE 208",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814094",
            "telephone_number": "863-364-4711",
            "fax_number": "863-875-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ ACEVEDO",
        "first_name": "MIRTHA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9302725",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9302725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.