Yesenia Mary Malave Vazquez, in South Daytona, FL

Yesenia Mary Malave Vazquez, is a medicare enrolled "Nurse Practitioner - Family" in South Daytona, Florida. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Florida Clinical Practice Association Inc and her current practice location is 2241 Brian Ave, South Daytona, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 547-0554.

Yesenia Mary Malave Vazquez is licensed to practice in Florida (license number APRN11019521) 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 1487399366.

Contact Information

	Yesenia Mary Malave Vazquez,
	2241 Brian Ave, South Daytona, FL 32119-2721
	(386) 547-0554
	Not Available

Map and Direction

Provider's Profile

Full Name	Yesenia Mary Malave Vazquez
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	2241 Brian Ave, South Daytona, 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:

Yesenia Mary Malave Vazquez graduated from nursing school in 2022

NPI Data:

NPI Number: 1487399366
Provider Enumeration Date: 05/04/2022
Last Update Date: 09/03/2025

Medicare PECOS Information:

PECOS PAC ID: 7719368224
Enrollment ID: I20220714003171

Medical Identifiers

Medical identifiers for Yesenia Mary Malave Vazquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487399366	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11019521 (Florida)	Primary
363L00000X	Nurse Practitioner	APRN11019521 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Halifax Health Medical Center	Daytona beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Clinical Practice Association Inc	0345146254	1658

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. Yesenia Mary Malave Vazquez allows following entities to bill medicare on her behalf.

Entity Name	Florida Clinical Practice Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

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. Yesenia Mary Malave Vazquez 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
Yesenia Mary Malave Vazquez, 2241 Brian Ave, South Daytona, FL 32119-2721 Ph: () -	Yesenia Mary Malave Vazquez, 2241 Brian Ave, South Daytona, FL 32119-2721 Ph: (386) 547-0554

Reviews and Comments

Nurse Practitioner Nurses in South Daytona, FL

Wendy Carol Boone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 619 Katherine St, South Daytona, FL 32119 Phone: 321-749-4524
Matthew Hal Thompson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2435 Kenilworth Ave, South Daytona, FL 32119 Phone: 386-334-0061
Cassandra Jane (robertson) Mccathran, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 719 Beville Rd, South Daytona, FL 32119 Phone: 386-304-3444 Fax: 386-304-3403
Lindsey K Busch, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 Beville Rd, South Daytona, FL 32119 Phone: 386-760-8116 Fax: 888-486-1253
Myrna Del Carmen Colom, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 322 Big Tree Rd, South Daytona, FL 32119 Phone: 386-310-8745
James Kulis, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 905 Beville Rd, South Daytona, FL 32119 Phone: 386-767-9000

Yesenia Mary Malave Vazquez, - Medicare Nurse Practitioner in South Daytona, FL