Individual provider Active NPI

Marie M Weber, NP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1164886123
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9274191 Issued in FL
Practice address
3175 Tower Oaks Dr
Orange Park, FL 32065-2548
Phone
(516) 698-4194
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9274191 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9274191 FL Primary

Addresses

Primary practice location

3175 Tower Oaks Dr
Orange Park, FL 32065-2548

Mailing address

3175 Tower Oaks Dr
Orange Park, FL 32065-2548
Phone (516) 698-4194

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
I20170322002330 FL Practitioner - Nurse Practitioner 7113202730 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9274191FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Apr 3, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Feb 22, 2017 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Feb 22, 2017 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Oct 15, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Oct 15, 2018 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1545 Branan Field Rd
Ste 1
Middleburg, FL 32068
Phone (904) 450-8575

4215 Plantation Oaks Blvd
Orange Park, FL 32065
Phone (904) 537-3103

Organizations & group practices 7

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1164886123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 TOWER OAKS DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652548",
            "telephone_number": "516-698-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 TOWER OAKS DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652548",
            "telephone_number": "516-698-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MARIE",
        "middle_name": "M",
        "credential": "NP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2022-11-01",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9274191",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9274191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.