Individual provider Active NPI

Marie De Jesus

  • Family Nurse Practitioner
  • Deltona, FL
National Provider Identifier
1023477817
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9266387 Issued in FL
Practice address
2187 Howland Blvd
Deltona, FL 32738-3441
Phone
(386) 789-0813
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9266387 FL Primary

Addresses

Primary practice location

2187 Howland Blvd
Deltona, FL 32738-3441

Mailing address

2187 Howland Blvd
Deltona, FL 32738-3441

Other practice location 1

5308 W Irlo Bronson Hwy
Kissimmee, FL 34746-4754
Phone (407) 733-2635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161112000123 FL Practitioner - Nurse Practitioner 3476832569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

5308 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-4754
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9266387FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Heart Specialists, P.a. CurrentSince Sep 12, 2016 Accepting new patients
Orlando Heart & Vascular Institute LLC Current Accepting new patients
Minuteclinic LLC Family CurrentSince Dec 21, 2018 Accepting new patients

Locations

450 W Central Pkwy
Ste 2000
Altamonte Springs, FL 32714
Phone (407) 767-8554

2187 Howland Blvd
Deltona, FL 32738
Phone (386) 789-0813

5308 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746
Phone (407) 390-9185

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGGGDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1023477817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 HOWLAND BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327383441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 HOWLAND BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327383441",
            "telephone_number": "386-789-0813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5308 W Irlo Bronson Hwy",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347464754",
            "country_code": "US",
            "telephone_number": "407-733-2635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9266387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.