MARIA GIDDARIE (FNP-BC) – Family Nurse Practitioner, NPI 1639069248

MARIA GIDDARIE (FNP-BC) is a healthcare provider. based in Lutz, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 11040646 (FL). The NPI Number for MARIA GIDDARIE (FNP-BC) is 1639069248

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MARIA GIDDARIE (FNP-BC)
NPI
1639069248
Phone
(678) 467-3703
Address
3959 VAN DYKE RD # 241
Enumeration Date
7 July 2025
Last Update Date
7 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8133364461
Graduation Year
2025 (1 year ago)
PAC ID
1557865292
Group Practice PAC ID
7012209216
Professional Enrollment ID
I20250917000586
Address ID
FL346831416PA3519XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MARIA GIDDARIE (FNP-BC)

  • 3959 VAN DYKE RD # 241

    LUTZ, FL 335588025

    Phone: (678) 467-3703

    Mailing address matches the actual address.

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: 2025-09-17

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
I20250917000586INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33558)

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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: 7012209216View full group profile
NameSpecialtyState
N E U R O S U R G E R YFL
N E U R O S U R G E R YFL
Physician AssistantFL
Nurse PractitionerFL

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Frequently asked questions

Is there an official ID for MARIA GIDDARIE (FNP-BC) in U.S. healthcare records?
The official identifier for MARIA GIDDARIE (FNP-BC) is NPI 1639069248.
Would MARIA GIDDARIE (FNP-BC) appear as active to a payer?
You can treat MARIA GIDDARIE (FNP-BC) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MARIA GIDDARIE (FNP-BC)?
MARIA GIDDARIE (FNP-BC)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARIA GIDDARIE (FNP-BC)?
Travel planning: use Lutz, Florida as the reference point for MARIA GIDDARIE (FNP-BC), then confirm.
When was this NPI issued?
Enumeration for MARIA GIDDARIE (FNP-BC) is noted as July 7, 2025 where the registry provides it.

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