Individual provider Active NPI

Marina A Yudis, ARNP

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1083918460
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3413032 Issued in FL
Practice address
13421 S Shore Blvd Ste 101
Wellington, FL 33414-7210
Phone
(561) 440-1616
Fax
(561) 440-2030
NPI assigned
Dec 29, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3413032 FL
Family Nurse Practitioner 363LF0000X ARNP3413032 FL Primary

Addresses

Primary practice location

13421 S Shore Blvd Ste 101
Wellington, FL 33414-7210

Mailing address

367 S. Gulph Rd
Att: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (775) 356-9393

Other practice location 1

1150 45th St
West Palm Beach, FL 33407-2361
Phone (561) 642-1008

Other identifiers 1

IdentifierTypeStateIssuer
005543800MedicaidFL

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
I20110818000321 FL Practitioner - Nurse Practitioner 8820267305 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

2201 45TH St
West Palm Beach, FL 33407-2047
Phone (561) 842-6141

322 SW Pine Island Rd
Fawcett Memorial
Cape Coral, FL 33991-2057
Phone (941) 249-6858

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Jupiter Medical Center Physicians Group Inc CurrentSince Apr 25, 2016 Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Mar 4, 2018 Accepting new patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince May 1, 2018 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Nov 11, 2013 Accepting new patients
Shands/Solantic Joint Venture, LLC CurrentSince Nov 11, 2013 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Nov 11, 2013 Accepting new patients
Jupiter Medical Center Physicians Group CurrentSince Apr 25, 2016 Accepting new patients
FL-I Medical Services, LLC Nurse Practitioner Current Accepting new patients
FL-I Medical Services LLC Nurse Practitioner CurrentSince Mar 4, 2018 Accepting new patients
Solantic/South Florida, LLC CurrentSince Nov 11, 2013 Accepting new patients
Phoenix Emergency Medicine of Broward LLC Current Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince May 1, 2018 Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1335 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 263-7010

5430 Military Trl
Ste 64
Jupiter, FL 33458
Phone (561) 263-7010

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

5565 Centerview Dr
Ste 107
Raleigh, NC 27606
Phone (213) 484-7111

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083918460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATT: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "775-356-9393",
            "fax_number": "775-356-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13421 S SHORE BLVD STE 101",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334147210",
            "telephone_number": "561-440-1616",
            "fax_number": "561-440-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 45th St",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072361",
            "country_code": "US",
            "telephone_number": "561-642-1008",
            "fax_number": "561-802-3976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUDIS",
        "first_name": "MARINA",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3413032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3413032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005543800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.