Individual provider Active NPI

Rebecca Marino, APRN

  • Family Nurse Practitioner
  • Unionville, CT
National Provider Identifier
1083197180
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7840 Issued in CT
Practice address
20 River Rd
Unionville, CT 06085-1064
Phone
(860) 214-5387
NPI assigned
Sep 13, 2018
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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 7840 CT Primary

Addresses

Primary practice location

20 River Rd
Unionville, CT 06085-1064

Mailing address

20 River Rd
Unionville, CT 06085-1064
Phone (860) 214-5387

Other names 1

  • Rebecca Plocharski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20181029000432 CT Practitioner - Nurse Practitioner 0840543484 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Unionville, CT 06085
Phone (860) 214-5387

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7840CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Foot Care LLC Family CurrentSince Jul 1, 2022 Accepting new patients
Impact Health P.C. Family CurrentSince Dec 7, 2021 Accepting new patients

Locations

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1083197180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RIVER RD",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851064",
            "telephone_number": "860-214-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RIVER RD",
            "city": "UNIONVILLE",
            "state": "CT",
            "postal_code": "060851064",
            "telephone_number": "860-214-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "PLOCHARSKI",
            "credential": "FNP,APRN,RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Unionville, CT

Sources for this page

Verify at the official NPI Registry.