Individual provider Active NPI

Marie Vancamp, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Myers, FL
National Provider Identifier
1295123446
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9288589 Issued in FL
Practice address
4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone
(239) 223-2751
NPI assigned
Dec 22, 2014
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9288589 FL Primary

Addresses

Primary practice location

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (239) 223-2751

Other names 1

  • Marie Gorski Former name

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
I20150427001923 FL Practitioner - Nurse Practitioner 7315266228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8839 Bryan Dairy Rd
Suite 310
Largo, FL 33777-1207
Phone (239) 223-2751

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9288589FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dna Comprehensive Therapy Services, LLC CurrentSince Jul 15, 2023 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Jul 15, 2023 Accepting new patients
Dna Comprehensive Therapy Services, LLC PastSince Jun 16, 2024 Accepting new patients

Locations (25 of 29)

5325 E State Road 64
Ste B
Bradenton, FL 34208
Phone (813) 970-3402

1602 Oakfield Dr
Ste 205
Brandon, FL 33511
Phone (813) 385-4998

418 SW 47th Ter
Cape Coral, FL 33914
Phone (239) 673-9034

14000 S Military Trl
Ste 208
Delray Beach, FL 33484
Phone (561) 563-7110

9401 Corkscrew Palms Cir
Fl 3
Estero, FL 33928

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

6360 Techster Blvd
Ste 1
Fort Myers, FL 33966
Phone (239) 826-7903

1131 NW 64th Ter
Ste A
Gainesville, FL 32605
Phone (352) 363-2025

2055 Reyko Rd
Ste 100
Jacksonville, FL 32207
Phone (904) 648-8200

100 E Sybelia Ave
Ste 150
Maitland, FL 32751
Phone (407) 765-5437

2230 Venetian Ct
Ste 1
Naples, FL 34109
Phone (239) 236-5448

7623 Little Rd
Ste 300B
New Port Richey, FL 34654
Phone (727) 910-5990

2910 Maguire Rd
Ste 2002
Ocoee, FL 34761
Phone (407) 287-1664

1532 Kingsley Ave
Ste 112
Orange Park, FL 32073
Phone (904) 214-3222

1542 Kingsley Ave
Ste 136137
Orange Park, FL 32073
Phone (904) 458-7780

3157 N Alafaya Trl
Orlando, FL 32826
Phone (407) 215-0095

285 Clyde Morris Blvd
#300B
Ormond Beach, FL 32174

1777 Tamiami Trl
Ste 201
Port Charlotte, FL 33948
Phone (941) 249-4354

3191 Harbor Blvd
Ste B
Port Charlotte, FL 33952
Phone (941) 624-2141

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

2401 University Pkwy
Ste 104
Sarasota, FL 34243
Phone (941) 358-6777

8839 Bryan Dairy Rd
Ste 310
Seminole, FL 33777
Phone (727) 446-5681

1111 SE Federal Hwy
Ste 334
Stuart, FL 34994
Phone 2396906906 ext. 21659

2252 Killearn Center Blvd
Ste 300
Tallahassee, FL 32309
Phone (850) 671-4600

12015 Whitmarsh Ln
Tampa, FL 33626
Phone (813) 658-3600

Interoperability endpoints

  • Direct secure messaging: marie.gorski.1@13142.direct.athenahealth.com

Organizations & group practices 3

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": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1295123446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 METRO PKWY STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169416",
            "telephone_number": "239-223-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 METRO PKWY STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169416",
            "telephone_number": "239-223-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCAMP",
        "first_name": "MARIE",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9288589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "GORSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.