MIRIAM WELLS DAVID (FNP) – Nurse Practitioner, NPI 1497445530

MIRIAM WELLS DAVID (FNP) is a healthcare provider. based in Saint petersburg, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 110204691 (FL). The NPI Number for MIRIAM WELLS DAVID (FNP) is 1497445530

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAM WELLS DAVID (FNP)
NPI
1497445530
Phone
(727) 204-1923
Address
628 66TH AVE S
Enumeration Date
11 May 2023
Last Update Date
11 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275537300
Graduation Year
2022 (4 years ago)
PAC ID
6406217512
Group Practice PAC ID
1658433883
Professional Enrollment ID
I20230804000743
Address ID
FL337014814ST701XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MIRIAM WELLS DAVID (FNP)

  • 628 66TH AVE S

    SAINT PETERSBURG, FL 337055934

    Phone: (727) 204-1923

    Type: Mailing

  • 203 N MARION ST

    TAMPA, FL 336024914

    Phone: (813) 474-9804

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-08-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230804000743INurse PractitionerFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 33705)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658433883View full group profile
NameSpecialtyState
Nurse PractitionerFL
Emergency MedicineFL
Emergency MedicineCA
Emergency MedicineMA
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
-FL
-FL
Emergency MedicineFL

Reviews

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Frequently asked questions

What is the registry number for MIRIAM WELLS DAVID (FNP)?
The registry entry for MIRIAM WELLS DAVID (FNP) shows NPI 1497445530.
Is MIRIAM WELLS DAVID (FNP) currently accepting referrals based on NPI status?
Registry metadata lists MIRIAM WELLS DAVID (FNP) as active.
What does the directory say MIRIAM WELLS DAVID (FNP) does?
Insurance directories may phrase it differently, but here MIRIAM WELLS DAVID (FNP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MIRIAM WELLS DAVID (FNP)?
MIRIAM WELLS DAVID (FNP) is associated with Saint Petersburg, Florida in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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