Individual provider Active NPI

Marjorie Mercie Gedeon, ARNP

  • Family Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1245738566
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9253458 Issued in FL
Practice address
801 Northpoint Pkwy Ste 95
West Palm Beach, FL 33407-1812
Phone
(561) 622-6111
NPI assigned
Feb 1, 2018
Last updated
Sep 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9253458 FL Primary

Addresses

Primary practice location

801 Northpoint Pkwy Ste 95
West Palm Beach, FL 33407-1812

Mailing address

139 Two Pine Dr
Greenacres, FL 33413-2500
Phone (305) 335-4920

Other practice location 1

2050 Havendale Blvd NW Ste B
Winter Haven, FL 33881-3828
Phone (863) 268-2211

Other identifiers 1

IdentifierTypeStateIssuer
1245738566OtherFLNPI

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
I20190215000776 FL Practitioner - Nurse Practitioner 7618215716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3215 S US Hwy 1
Suite B
Fort Pierce, FL 34982-6379
Phone (772) 249-5031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9253458FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Group of South Florida, Inc CurrentSince Apr 1, 2023 Accepting new patients
Family Medical Community Center, 'Inc' CurrentSince Nov 4, 2024 Accepting new patients
Premier Care Centre LLC Family CurrentSince Jun 21, 2023 Accepting new patients
Comfort Home Health Services CurrentSince Oct 15, 2023 Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

3215 S US Highway 1
Ste B
Fort Pierce, FL 34982
Phone (772) 241-5031

801 Northpoint Pkwy
Ste 95
West Palm Beach, FL 33407
Phone (561) 255-3131

2050 Havendale Blvd NW
Winter Haven, FL 33881
Phone (800) 414-9119

2050 Havendale Blvd NW
Ste B
Winter Haven, FL 33881
Phone (863) 268-2211

Organizations & group practices 6

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": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1245738566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 TWO PINE DR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132500",
            "telephone_number": "305-335-4920",
            "fax_number": "863-222-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NORTHPOINT PKWY STE 95",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334071812",
            "telephone_number": "561-622-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2050 Havendale Blvd NW Ste B",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338813828",
            "country_code": "US",
            "telephone_number": "863-268-2211",
            "fax_number": "863-222-9343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEDEON",
        "first_name": "MARJORIE",
        "middle_name": "MERCIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9253458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245738566",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.