Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew J Pettit, APRN

Individual provider Family Nurse Practitioner · NPI 1609115534

Matthew J Pettit, APRN is a Nurse Practitioner in Tampa, Florida. Qualified in 2012, 14 years ago. Practices with Cerebrum Healthcare LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

3225 S Macdill Ave Ste 129-300
Tampa, FL 33629-8171
Phone: (813) 441-6803
Fax: (813) 524-6352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9262459 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN9262459 (FL)

Record details

NPI number1609115534
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 13, 2013
Last updated in NPPESMarch 7, 2023
Certification dateAugust 16, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Cerebrum Healthcare Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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