Mary Permiakov, APRN, FNP-C
NPI 1073319612ActiveIndividual· Nurse Practitioner, Family· Edison, NJ
Nurse Practitioner, Family (APRN, FNP-C) with Bluestone Physician Services Southeast LLC, practicing in Edison, New Jersey. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1073319612 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, FNP-C |
| Sole proprietor | Yes |
| NPI issued | Feb 24, 2025 |
| Last updated in NPPES | Sep 25, 2026 |
| Certified by provider | Sep 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 11037908 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Bluestone Physician Services Southeast LLCTampa, FL · 27 clinicians
Other facilities
- Enhabit Home HealthHome health agency · Sarasota, FL
- Haven Home Health CareHome health agency · Riverview, FL
- Mederi CaretendersHome health agency · Sarasota, FL
- Trilogy Home HealthcareHome health agency · Tampa, FL
- Trilogy Home HealthcareHome health agency · Sarasota, FL
- Empath Tidewell HospiceHospice · Sarasota, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 51 family nurse practitioners in Edison · All family nurse practitioners in New Jersey