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Mary Brooke Calitri

Physician Assistant β€’ Venice, FL

Active NPI 1457149221 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1700 E Venice Ave
Venice, FL 342923190

Call 9414839760 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1700 E Venice Ave

Venice, FL 342923190

Telephone 9414839760
Fax 9414839775
Organization at the Same NPPES Address or Phone
Gulf Coast Hma Physician Management Llc Facility NPI 1770881112

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Port Charlotte, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Florida Hospital Physician Group Inc; Ies Florida Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

Fewer than 11 payment records totaling $15.16 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mary Calitri has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mary Calitri as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Venice and Florida

42 active clinicians are listed under Physician Assistant with a practice address in Venice, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Venice

19% of these 42 clinicians have the CMS telehealth indicator.

59.5% of these 42 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $15.16.

Manufacturer Payment Nature Product Type Amount ($)
Collegium Pharmaceutical, Inc.
Food and Beverage
Cash or cash equivalent
Jornay PM General $15.16

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9120861

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260218003303

Enrollment State Jurisdiction

FL

PECOS Control ID

1557841434

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Florida Hospital Physician Group Inc

13901 Bruce B Downs Blvd, Tampa, FL 336133905

Phone: 8136157260

Ies Florida Pllc

2500 Harbor Blvd, Port Charlotte, FL 339525000

Phone: 9417664122

Florida Hospital Physician Group Inc

2500 Harbor Blvd, Port Charlotte, FL 339525000

Phone: 9417664903

Secondary Practice Locations

2500 Harbor Blvd

Port Charlotte, FL 339525000

Phone: 9417664255

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Brieanna Blumenstein , ARNP

Nurse Practitioner - Family

NPI 1609424654

Advanced Registered Nurse Practitioner

Lisa Bonin , PA-C

Physician Assistant

NPI 1235177601

Physician Assistant (Certified)

Sarah Courtney , MSN, APRN, FNP

Nurse Practitioner - Family

NPI 1225725914

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner

Michelle Fallis , PA-C

Physician Assistant

NPI 1205259108

Physician Assistant (Certified)

Maria Gonzalez , PA

Physician Assistant

NPI 1407168289

Physician Assistant

Julia Joslin , APRN

Nurse Practitioner - Family

NPI 1245826460

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location July 15, 2026

Registered at 1700 E VENICE AVE, VENICE, FL 342923190 (Tel: 9414839760)

πŸ“
Updated Business Mailing Address July 15, 2026

Registered at 2675 WINKLER AVE STE 200, FORT MYERS, FL 339019328 (Tel: 9414839760)

πŸ“
Updated Business Mailing Address February 18, 2026

Registered at 2500 HARBOR BLVD, PORT CHARLOTTE, FL 339525000 (Tel: 9417664125)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2026

Physician Assistant (license number reported to NPPES: FL PA9120861)

πŸ“
Updated Practice Location December 05, 2025

Registered at 2500 HARBOR BLVD, PORT CHARLOTTE, FL 339525000 (Tel: 9417664122)

βœ…
NPI Profile Active April 30, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 30, 2025

Registered at 3183 DESOTO DR, PUNTA GORDA, FL 339833412 (Tel: 9416613906)

πŸ“
Business Mailing Address (Initial Record) April 30, 2025

Registered at 3183 DESOTO DR, PUNTA GORDA, FL 339833412 (Tel: 9416613906)

πŸ‘€
Provider Name / Credentials (Initial Record) April 30, 2025

Recorded as MARY CALITRI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2025

Physician Assistant

🟒
Initial NPI Registration & Enumeration April 30, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457149221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2025
Last Update: July 15, 2026
Sole Proprietor: Yes

Other Physician Assistants in Venice

All Physician Assistants in Venice

Mailing Address

2675 Winkler Ave Ste 200

Fort Myers, FL 339019328

Phone: 9414839760

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.