Anaisis Diaz, APRN in North Venice, FL - Medicare Nurse Practitioner

Anaisis Diaz, APRN is a medicare enrolled "Nurse Practitioner - Family" in North Venice, Florida. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Conviva Medical Center Management, Llc and her current practice location is 5500 Pinebrook Rd Ste 202, North Venice, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 408-0500.

Anaisis Diaz is licensed to practice in Florida (license number APRN11019382) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013651215.

Contact Information

	Anaisis Diaz, APRN
	5500 Pinebrook Rd Ste 202, North Venice, FL 34275-3678
	(941) 408-0500
	(941) 496-8558

Map and Direction

Provider's Profile

Full Name	Anaisis Diaz
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	5500 Pinebrook Rd Ste 202, North Venice, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Anaisis Diaz graduated from nursing school in 2021

NPI Data:

NPI Number: 1013651215
Provider Enumeration Date: 04/24/2022
Last Update Date: 02/09/2026

Medicare PECOS Information:

PECOS PAC ID: 3779967021
Enrollment ID: I20220906000745

Medical Identifiers

Medical identifiers for Anaisis Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013651215	NPI	-	NPPES
115338600	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11019382 (Florida)	Primary
363L00000X	Nurse Practitioner	APRN11019382 (Florida)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conviva Medical Center Management, Llc	4284717422	491

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Anaisis Diaz allows following entities to bill medicare on her behalf.

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anaisis Diaz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Anaisis Diaz, APRN Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200	Anaisis Diaz, APRN 5500 Pinebrook Rd Ste 202, North Venice, FL 34275-3678 Ph: (941) 408-0500

Reviews and Comments

Nurse Practitioner Nurses in North Venice, FL

Evgeny Gorobtsov, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Laurel Rd E, North Venice, FL 34275 Phone: 941-261-9000
Madelyn Rose Duty, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5500 Pinebrook Rd Ste 202, North Venice, FL 34275 Phone: 941-408-0500 Fax: 941-496-8558
Crystal Pawula, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5500 Pinebrook Rd Ste 202, North Venice, FL 34275 Phone: 941-408-0500 Fax: 941-496-8558
Karisa M Young, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Healthcare Way Ste 202, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165
Christie T Le, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Healthcare Way Unit 103, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165
Kolten Bush, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Healthcare Way Unit 103, North Venice, FL 34275 Phone: 941-261-0160 Fax: 941-261-0165

Anaisis Diaz, APRN - Medicare Nurse Practitioner in North Venice, FL