Jenilee Marcinkiewicz, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11008444 Issued in FL

Practice address

915 Willow Run
Ormond Beach, FL 32174-6147

Phone

(386) 559-7432

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excellence Health LLCGroup PAC ID 0840534160, 49 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.99 of 100Reported as group

Quality

84.82

Promoting interoperability

100

Improvement activities

40

Cost

61.81

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24896/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Excellence Health, LLC

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1447741749

  FL

  Medicare reassignment Care Compare group NPD
• Excellence Health Specialist LLC

  • Sleep Medicine (Internal Medicine) Physician
  • Daytona Beach, FL
  • NPI 1306559265

  FL

  Medicare reassignment NPD
• Home Docs

  • Family Nurse Practitioner
  • Orange City, FL
  • NPI 1518347038

  Family, FL

  Medicare reassignment NPD
• Primary Care of Oc LLC

  • Family Medicine Physician
  • Orange City, FL
  • NPI 1790541456

  FL

  Medicare reassignment NPD
• Primary Care of Orange City LLC

  • Family Medicine Physician
  • Orange City, FL
  • NPI 1831615087

  Family, FL

  Medicare reassignment NPD
• Wound Technology Network Inc

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1962601393

  FL

  Medicare reassignment NPD
• Primary Care of Orange City LLC

  • Nurse Practitioner
  • Orange City, FL
  • NPI 1972249530
  NPD

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1164033288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 WILLOW RUN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 WILLOW RUN",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746147",
            "telephone_number": "386-559-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINKIEWICZ",
        "first_name": "JENILEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Manousakis
• Marandino Schargen Chiropractic, P.a.
• Marcie Marandino, D.C.
• Enzo Marchese, EMT
• Kelli Jean Marchewka, PA-C
• Rita Marino, LMHC
• Mark W. Lastarza, M.D., PA.
• Holly A Marocchi, RRT, AE-C
• Daniel Joseph Marshall
• Richard J. Marshall, PA

• All providers in Ormond Beach, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.

Verify at the official NPI Registry.