Anelkis Mariell Vieira

Individual provider Active NPI Family Nurse Practitioner · Indiantown, FL

NPI 1992653745 · NPPES record last updated May 15, 2026

Key facts

NPI
1992653745
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
APRN11046162 (FL)
Practice address
15858 SW Warfield Blvd
Indiantown, FL 34956-3513
Phone
(772) 337-8580
Fax
(772) 248-0070
NPI assigned
Mar 18, 2026
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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

Practice addresses (Care Compare)

5827 Corporate Way
West Palm BCH, FL 33407-2000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260514002304 FL Practitioner - Nurse Practitioner 3779052139 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
APRN11046162FLMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11046162 FL Yes

Addresses

Primary practice location

15858 SW Warfield Blvd
Indiantown, FL 34956-3513

Mailing address

5827 Corporate Way
West Palm Beach, FL 33407-2000
Phone (561) 844-9443

Other providers in Indiantown, FL

All providers in Indiantown, FL · Family Nurse Practitioner in Florida

Sources for this page

Verify at the official NPI Registry.