Marie Naomi C Forges Madistin

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11017807 Issued in FL

Practice address

6045 Hagen Ranch Rd Ste 4
Lake Worth, FL 33467-7251

Phone

(561) 619-9961

Fax

(561) 619-9934

NPI assigned

Jan 29, 2022

Sex

Female

Sole proprietor

Yes

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

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.

• Bethel Medical Group

  • Nurse Practitioner
  • Lake Worth, FL
  • NPI 1053027508

  Family

  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • West Palm Beach, FL
  • NPI 1134189103
  Medicare reassignment NPD
• Florida Department of Health

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD
• Bethesda Assisted Living

  • Assisted Living Facility
  • Greenacres, FL
  • NPI 1356883136
  NPD (past)

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1285387332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 HAGEN RANCH RD STE 4",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677251",
            "telephone_number": "561-619-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 HAGEN RANCH RD STE 4",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677251",
            "telephone_number": "561-619-9961",
            "fax_number": "561-619-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGES MADISTIN",
        "first_name": "MARIE NAOMI",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hew Bun Fong
• Jennifer J Fontaine, D.D.S.
• Footcare Store Inc
• Bryan Ford, DC
• Lidia Forero
• Elayne Fiorella Forgie, GERIATRIC CARE MANAG
• Karen Formoso, APRN
• Taylor Forster, LMHC
• Forward Family Care LLC
• Angela Foster, PHARMD

• Family Nurse Practitioner in Lake Worth, FL
• Providers in Lake Worth, 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 Jan 28, 2026; 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.