Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Maxilom De Carvalho, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1306509971

Mark Maxilom De Carvalho, APRN, FNP-C is a Nurse Practitioner in Encinitas, California. Qualified in 2021, 5 years ago. Practices with Inspirada Primary Care LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Arizona, California, Colorado and Florida and 11 more.

Years since qualifying
5
Licensed in
AZ, CA, CO, FL, ID, IL
In the registry since
2021
Specialties on file
15
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

914 N Coast Highway 101
Encinitas, CA 92024-2074
Phone: (202) 932-9958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 860179 (NV)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 349083 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence TPAN3116 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 277004816 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 1099927 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN.1001430-NP (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ01261800 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 12488 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 319429 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5571183 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95025693 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 101.0138405TELE (VT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP024314 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 86375 (NM)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 14244166-4405 (UT)

Record details

NPI number1306509971
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , FNP-C
Sole proprietorNo
NPI enumeratedOctober 20, 2021
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Inspirada Primary Care Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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