Mary Catherine Plymel

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11023218 Issued in FL

Practice address

1340 S 18TH St
Amelia Island, FL 32034-4799

Phone

(904) 277-2700

NPI assigned

Dec 21, 2022

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ackerman Cancer Center, PA

  • Radiation Oncology Physician
  • St Augustine, FL
  • NPI 1750175501
  Medicare reassignment NPD
• Ackerman Cancer Center, PA

  • Urology Physician
  • St Augustine, FL
  • NPI 1912786963
  NPD

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1194437103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S 18TH ST",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320344799",
            "telephone_number": "904-277-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S 18TH ST",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320344799",
            "telephone_number": "904-277-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLYMEL",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monarch Academy for Neurodivergent Youth and Young Adults L.L.C.
• Maria A Murphy, MA, LMHC, LCPC
• Morgan Clarissa Oldfield
• Osprey Village at Amelia Island Plantation, LTD
• William Paul Peters, MD, PH.D
• Ryan Reed, PT
• Chasity Rhoden, OTR/L
• Virginia Warren Swenson, M.A., CCC-SLP
• Leigh Tatum, MS, CCC-SLP
• Sally Melissa Willage, M.S.CCC/SLP

• Family Nurse Practitioner in Amelia Island, FL
• Providers in Amelia Island, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.