Active NPI
Marina A Yudis, ARNP
- Family Nurse Practitioner
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3413032
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005543800 | Medicaid | FL |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| FL-I Medical Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Jupiter Medical Center Physicians Group Inc | Current | Accepting new patients | |
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Solantic of Jacksonville, LLC | Current | Accepting new patients | |
| Shands/Solantic Joint Venture, LLC | Current | Accepting new patients | |
| Hma/Solantic Joint Venture, LLC | Current | Accepting new patients | |
| Jupiter Medical Center Physicians Group | Current | Accepting new patients | |
| FL-I Medical Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| FL-I Medical Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Solantic/South Florida, LLC | Current | Accepting new patients | |
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Phoenix Emergency Medicine of Broward LLC | Current | 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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Nurse Practitioner
- Fort Pierce, FL
- NPI 1750655106
-
- Urgent Care Clinic/Center
- Vero Beach, FL
- NPI 1689812109
-
- Cardiovascular Disease Physician
- Jupiter, FL
- NPI 1396992475
-
- Emergency Medicine Physician
- Coral Springs, FL
- NPI 1871542969
-
- Urgent Care Clinic/Center
- Gainesville, FL
- NPI 1558595223
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Ponte Vedra, FL
- NPI 1407893100
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Coral Springs, FL
- NPI 1851344378
-
- Emergency Medicine Physician
- Port Charlotte, FL
- NPI 1821407206
Nurse Practitioner
-
dba Jupiter Medical Center Urgent Care
- Urgent Care Clinic/Center
- Jupiter, FL
- NPI 1730522921
-
dba JMC Community Care
- Pediatric Surgery Physician
- Jupiter, FL
- NPI 1093344376
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.