Active NPI
Ana Paula Marcolina, APRN
- Gerontology Nurse Practitioner
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APRN11002230
- Practice address
- 1920 Don Wickham Dr Ste 100
Clermont, FL 34711-1977 - Phone
- (352) 394-1150
- Fax
- (352) 394-1560
- NPI assigned
- Jul 19, 2019
- Last updated
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11002230 | FL | Primary |
Addresses
Primary practice location
1920 Don Wickham Dr Ste 100
Clermont, FL 34711-1977
Mailing address
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2216
Phone (239) 274-8200
Other practice location 1
70 W Gore St Ste 100
Orlando, FL 32806-1124
Phone (407) 426-8484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients |
Locations
1340 N Hancock Rd
Clermont, FL 34711
Phone (352) 394-1150
1920 Don Wickham Dr
Ste 100
Clermont, FL 34711
Phone (352) 394-1150
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500
Organizations & group practices 1
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.
-
- Medical Oncology Physician
- Clermont, FL
- NPI 1205124385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1255984175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 VERONICA S SHOEMAKER BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339162216",
"telephone_number": "239-274-8200",
"fax_number": "239-278-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 DON WICKHAM DR STE 100",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111977",
"telephone_number": "352-394-1150",
"fax_number": "352-394-1560"
}
],
"practiceLocations": [
{
"address_1": "70 W Gore St Ste 100",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061124",
"country_code": "US",
"telephone_number": "407-426-8484",
"fax_number": "407-426-8575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCOLINA",
"first_name": "ANA",
"middle_name": "PAULA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-19",
"last_updated": "2020-12-15",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11002230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.