Marissa Roberts, APRN-NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9451478 Issued in FL

Practice address

3900 Broadway Ste a-14
Fort Myers, FL 33901-8193

Phone

(941) 777-4542

Fax

(239) 579-6807

NPI assigned

Dec 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, DC, VA, GA, TX, OH6 enrollments

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 6

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Serendipity Health and Wellness LLCGroup PAC ID 4486063948, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score

64.75 of 100Reported as group

Quality

55.37

Improvement activities

40

Cost

47.65

Merit-based Incentive Payment System (MIPS)

Final score

56.11 of 100Reported as group

Quality

50.63

Improvement activities

40

Cost

27.55

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5830/brand/1/csg/1/fhir/r4
• Direct secure messaging: marissa.roberts.1@13869.direct.athenahealth.com
• Direct secure messaging: marissa@serendipityhealthandwellness.kareodirect.com

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.

• Serendipity Health & Wellness LLC

  • Primary Care Clinic/Center
  • Fort Myers, FL
  • NPI 1700462942
  Medicare reassignment Care Compare group NPD Authorized official
• Dispatchhealth-Florida Inc.

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1407472723
  Medicare reassignment NPD
• Fort Myers Internal Medicine LLC

  • Internal Medicine Physician
  • Ft Myers, FL
  • NPI 1346588621
  Medicare reassignment NPD
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1578047536
  Medicare reassignment NPD
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133

  DC, VA

  Medicare reassignment
• Dispatchhealth-Texas P a

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1649787896
  NPD
• Dispatchhealth-Florida Inc.

  • Emergency Medicine Physician
  • Doral, FL
  • NPI 1154097491
  NPD (past)
• Serendipity Health & Wellness

  • Primary Care Clinic/Center
  • Cape Coral, FL
  • NPI 1649855735
  NPD (past)
• Dispatchhealth NV Wagner PC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1023538790
  NPD (past)
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1265950372
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1306201520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY STE B8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018193",
            "telephone_number": "941-777-4542",
            "fax_number": "239-579-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BROADWAY STE A-14",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339018193",
            "telephone_number": "941-777-4542",
            "fax_number": "239-579-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARISSA",
        "credential": "APRN-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9451478",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009938",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9451478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019898000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hello@serendipityhealthandwellness.sprucecare.com",
            "affiliation": "N",
            "endpointDescription": "secure email/messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3900 Broadway Ste B8",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339018193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert W. Pollack, MD, PLLC
• Jade Roberts
• Jaime Roberts
• Katherine Jo Roberts, PA-C
• Madeline Kay Roberts
• Maryna Nikolayevna Roberts, M.D.
• Morgan Ann Roberts, RD
• Tamarae A Roberts
• Monique Robertson
• Jeffrey B Robin, M.D.

• Family Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, 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, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.