Active NPI
Maryoris Cecilia Angel Bello, APRN
- Nurse Practitioner
- Jacksonville, FL
National Provider Identifier
1972490969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11040372
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11040372 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharpe Medical Services Inc | Current | Accepting new patients |
Locations
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
Interoperability endpoints
- https://api.platform.athenahealth.com/20902/brand/1/csg/1/fhir/r4
- 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.
-
- General Acute Care Hospital
- Ponte Vedra Beach, FL
- NPI 1154714129
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.