Marina Nikolayevna Podolskiy, ARNP/ CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APRN11032140 Issued in FL

Practice address

3410 Tamiami TRL
Port Charlotte, FL 33952-8112

Phone

(941) 251-8477

NPI assigned

Apr 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MO, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: marina.podolskiy.1@2183.direct.athenahealth.com

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.

• Florida Woman Care, LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1386823243
  Medicare reassignment NPD
• Port Charlotte Hma Physician Management LLC

  • Family Medicine Physician
  • Punta Gorda, FL
  • NPI 1003985573
  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1245277631
  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657
  Medicare reassignment NPD
• Obhg Missouri, PC

  • Obstetrics & Gynecology Physician
  • Springfield, MO
  • NPI 1154672095
  Medicare reassignment NPD
• Port Charlotte Hma Physician Management LLC

  • Rural Health Clinic/Center
  • Arcadia, FL
  • NPI 1730672379
  NPD
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Hollister, MO
  • NPI 1053350454
  NPD
• Sarasota OB GYN Associates, PA

  • Obstetrics & Gynecology Physician
  • Sarasota, FL
  • NPI 1538703772
  NPD (past)
• Womencare PA

  • Specialist
  • Orlando, FL
  • NPI 1366529042
  NPD (past)

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1124413323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396304",
            "telephone_number": "941-222-2146",
            "fax_number": "941-378-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 TAMIAMI TRL",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528112",
            "telephone_number": "941-251-8477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2439 Bee Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342396304",
            "country_code": "US",
            "telephone_number": "941-222-2146",
            "fax_number": "941-378-9120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODOLSKIY",
        "first_name": "MARINA",
        "middle_name": "NIKOLAYEVNA",
        "credential": "ARNP/ CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2020026950",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP60863109",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11032140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO MULTI-STATE COMPACT RN LICENSE",
            "identifier": "2020026103",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2108562",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL STATE APRN CNM LICENSE",
            "identifier": "11032140",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE ARNP LICENSE",
            "identifier": "AP60863109",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN MIDWIFERY CERTIFICATION BOARD (AMCB)",
            "identifier": "CNM04878",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPT OF HEALTH, RN LICENSE",
            "identifier": "RN60025099",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pivotal Health Physical Medicine, LLC
• Roxanna Pizarro, P.T.A.
• Christopher Lee Plaisted, NP-C
• Dana F Planer, DO
• Playgrow Behavioral Solutions
• Craig S Pogue, D.C.
• Stephanie Poitras
• Angelique Renae Polidoro, D.O.
• Rachel Lynn Pollan, BSN DNAP CRNA APRN
• Chanda Pollock, OT

• Advanced Practice Midwife in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Advanced Practice Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.