MARY TERESA WITTNEBERT (DNP, ARNP, FNP-BC) – Family Nurse Practitioner, NPI 1316563604
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MARY TERESA WITTNEBERT (DNP, ARNP, FNP-BC)
305 MEMORIAL MEDICAL PKWY STE 301
DAYTONA BEACH, FL 321175157
Phone: (386) 231-1350
Type: Location
29 BLOCKHOUSE CT
ORMOND BEACH, FL 321743020
Phone: (386) 846-4188
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $688.
Total Amount is formed as General ($688) + Research ($0) + Ownership ($0) = $688.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($142).
Total Amount
$688
General + Research + Ownership
Payments
35
Total payment records
General Amount
$688
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201012002216 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 174 | 159 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 32117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | FL | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | PA | |
| Nurse Practitioner | FL |
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