Individual provider Active NPI

Marie C Germinal, ARNP

  • Primary Care Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1194202663
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN9284522 Issued in FL
Practice address
850 S 21St St Ste B
Fort Pierce, FL 34950-4829
Phone
(772) 252-4872
Fax
(772) 252-4873
NPI assigned
Jul 26, 2018
Last updated
Mar 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN9284522 FL
Primary Care Nurse Practitioner 363LP2300X APRN9284522 FL Primary

Addresses

Primary practice location

850 S 21St St Ste B
Fort Pierce, FL 34950-4829

Mailing address

850 S 21St St Ste B
Fort Pierce, FL 34950-4829
Phone (772) 252-4872

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
I20181206001405 FL Practitioner - Nurse Practitioner 4688918345 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9284522FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince Apr 24, 2024 Accepting new patients
M Care Medical Center Inc. CurrentSince Sep 20, 2018 Accepting new patients

Locations

3501 Orange Ave
Fort Pierce, FL 34947
Phone (772) 252-4872

850 S 21st St
Ste B
Fort Pierce, FL 34950
Phone (772) 252-4872

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1194202663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S 21ST ST STE B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504829",
            "telephone_number": "772-252-4872",
            "fax_number": "772-252-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S 21ST ST STE B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504829",
            "telephone_number": "772-252-4872",
            "fax_number": "772-252-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMINAL",
        "first_name": "MARIE",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "RN9284522",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9284522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.