Individual provider Active NPI

Maryoris Cecilia Angel Bello, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1972490969
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11040372 Issued in FL
Practice address
5355 Dolphin Point Blvd
Jacksonville, FL 32211-3221
Phone
(904) 914-8801
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11040372 FL Primary

Addresses

Primary practice location

5355 Dolphin Point Blvd
Jacksonville, FL 32211-3221

Mailing address

3938 Fincannon Rd W
Jacksonville, FL 32277-1522
Phone (786) 372-1257

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
I20251003001586 FL Practitioner - Nurse Practitioner 3870099229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

130 Indian Cove LN
Ponte Vedra Beach, FL 32082-2168

2101 Vista Pkwy
West Palm Beach, FL 33411-2706

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11040372FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sharpe Medical Services Inc CurrentSince Jul 18, 2025 Accepting new patients

Locations

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20902/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maryoris.c.angle.bello.1@20902.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1972490969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 FINCANNON RD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322771522",
            "telephone_number": "786-372-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 DOLPHIN POINT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113221",
            "telephone_number": "904-914-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGEL BELLO",
        "first_name": "MARYORIS",
        "middle_name": "CECILIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11040372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.