Individual provider Active NPI

Michelle Therese Marson, NP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1316410053
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10181787 Issued in GA
Practice address
2501 N Orange Ave
Orlando, FL 32804-4603
Phone
(954) 483-4262
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 F10181787 GA Primary

Addresses

Primary practice location

2501 N Orange Ave
Orlando, FL 32804-4603

Mailing address

2436 Conway Rd Apt 102
Orlando, FL 32812-4524
Phone (954) 483-4262

Other practice location 1

109 Bee St
Charleston, SC 29401-5703
Phone (843) 577-5011 ext. 7476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240116002123 NY Practitioner - Nurse Practitioner 5193151082 Reassigns benefits to 1 organization
I20250414002787 OR Practitioner - Nurse Practitioner 5193151082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

2610 Uhrmann Rd
Klamath Falls, OR 97601-1123
Phone (541) 274-6262

Hospital & facility affiliations

  • Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Lake District Hospital Hospital, Lakeview, OR, CCN 381309
  • Modoc Medical Center Hospital, Alturas, CA, CCN 051330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F10181787GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Nov 27, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Apr 7, 2025 Accepting new patients
Auburn Community Hospital CurrentSince Nov 27, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Apr 7, 2025 Accepting new patients

Locations

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

2610 Uhrmann Rd
Klamath Falls, OR 97601
Phone (541) 274-4171

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

Interoperability endpoints

  • Direct secure messaging: mmarson196600@direct-guthrie.org

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1316410053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 CONWAY RD APT 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328124524",
            "telephone_number": "954-483-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044603",
            "telephone_number": "954-483-4262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Bee St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294015703",
            "country_code": "US",
            "telephone_number": "843-577-5011 x7476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSON",
        "first_name": "MICHELLE",
        "middle_name": "THERESE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F10181787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.