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BLONDIE DEMOSTHENE VICTOR AGNP
NPI 1174238653
Nurse Practitioner in Riverview, FL

Active since January 18, 2023PECOS Enrolled
11748 ALBATROSS LN, RIVERVIEW, FL 33569(803) 727-5850 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blondie Demosthene Victor Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLONDIE DEMOSTHENE VICTOR AGNP (NPI 1174238653) is an individual nurse practitioner in Riverview, Florida, licensed in Florida (APRN11019797) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174238653
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBLONDIE DEMOSTHENE VICTORCredential: AGNP
Location Address11748 ALBATROSS LNRiverview, FL 33569-6300
Mailing Address11748 Albatross LnRiverview, FL 33569-6300 · (803) 727-5850
Phone(803) 727-5850
Sole ProprietorYes
Enumeration DateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
✔ NPI 1174238653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11019797
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

11748 ALBATROSS LN, Riverview, FL 33569
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Other Names 1

Other Name (5)Blondie Demosthene Agnp

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blondie Demosthene Victor Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33569 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blondie Victor's NPI number?

The NPI number for Blondie Victor is 1174238653. It was assigned to this individual provider in the NPPES registry on January 18, 2023. The provider is also known as Blondie Demosthene Agnp.

Where is Blondie Victor located?

Blondie Victor practices at 11748 Albatross Ln, Riverview, FL 33569. The listed phone number is (803) 727-5850.

What is Blondie Victor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Blondie Victor enrolled in Medicare?

Yes. Blondie Victor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blondie Victor was last updated on January 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.