Individual provider Active NPI

Maria V Mallia

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1902648942
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11033325 Issued in FL
Practice address
445 24TH St Ste 300
Vero Beach, FL 32960-6514
Phone
(772) 567-5551
NPI assigned
Jun 11, 2024
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 APRN11033325 FL Primary

Addresses

Primary practice location

445 24TH St Ste 300
Vero Beach, FL 32960-6514

Mailing address

605 Dahlia LN
Vero Beach, FL 32963-1845
Phone (772) 563-7490

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
I20250304003220 FL Practitioner - Nurse Practitioner 0244751451 Reassigns benefits to 1 organization

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
Hospitalist Services PLLCGroup PAC ID 9234477258, 2 clinicians

Practice addresses (Care Compare)

1300 36TH St
Suite 1a
Vero Beach, FL 32960-4898
Phone (772) 925-8230

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11033325FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Verovitals LLC Family CurrentSince Jun 23, 2026 Accepting new patients
Hospitalist Services PLLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

1300 36th St
Ste 1A
Vero Beach, FL 32960
Phone (772) 205-3345

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1902648942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 DAHLIA LN",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329631845",
            "telephone_number": "772-563-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 24TH ST STE 300",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606514",
            "telephone_number": "772-567-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLIA",
        "first_name": "MARIA",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.