Individual provider Active NPI

Marcell Bailey, APRN

  • Family Nurse Practitioner
  • Sanford, FL
National Provider Identifier
1093349433
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006223 Issued in FL
Practice address
4930 E Lake Mary Blvd
Sanford, FL 32771-5003
Phone
(407) 322-8645
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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 11006223 FL Primary

Addresses

Primary practice location

4930 E Lake Mary Blvd
Sanford, FL 32771-5003

Mailing address

1805 Eldorado CT
Saint Cloud, FL 34771-7909
Phone (407) 873-8598

Other names 1

  • Marcell Rice Former name

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
I20200721002634 FL Practitioner - Nurse Practitioner 4789008970 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006223FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC CurrentSince Jun 1, 2021 Accepting new patients
Muqeet Siddiqui, MD, LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

724 Charles St
Orlando, FL 32808
Phone (321) 239-4413

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1093349433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 ELDORADO CT",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717909",
            "telephone_number": "407-873-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 E LAKE MARY BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715003",
            "telephone_number": "407-322-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MARCELL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELL",
            "last_name": "RICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.