Individual provider Active NPI

Mariana Peralta Perez, APRN

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1912532698
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006350 Issued in FL
Practice address
5609 Marigold Way Apt 308
Naples, FL 34109-2751
Phone
(239) 234-7392
NPI assigned
Mar 3, 2020
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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 11006350 FL Primary

Addresses

Primary practice location

5609 Marigold Way Apt 308
Naples, FL 34109-2751

Mailing address

5609 Marigold Way Apt 308
Naples, FL 34109-2751
Phone (239) 234-7392

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
I20250521003546 FL Practitioner - Nurse Practitioner 2860911963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angel's Medical CompanyGroup PAC ID 6103074877, 4 clinicians

Practice addresses (Care Compare)

5240 Golden Gate Pkwy
Naples, FL 34116-7670
Phone (239) 234-6835

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006350FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Angel's Medical Company CurrentSince Apr 1, 2025 Accepting new patients

Locations

5240 Golden Gate Pkwy
Naples, FL 34116
Phone (239) 234-6835

Organizations & group practices 1

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1912532698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 MARIGOLD WAY APT 308",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092751",
            "telephone_number": "239-234-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 MARIGOLD WAY APT 308",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092751",
            "telephone_number": "239-234-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA PEREZ",
        "first_name": "MARIANA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.