Individual provider Active NPI

Marccene Saint Hilaire

  • Psychiatric/Mental Health Nurse Practitioner
  • Tamarac, FL
National Provider Identifier
1336816313
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021801 Issued in CA
Practice address
4933 NW 48TH Ter
Tamarac, FL 33319-3640
Phone
(954) 842-9415
NPI assigned
Aug 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021801 CA
Family Nurse Practitioner 363LF0000X 1014613 FL
Family Nurse Practitioner 363LF0000X 1180039 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1180039 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021801 CA Primary

Addresses

Primary practice location

4933 NW 48TH Ter
Tamarac, FL 33319-3640

Mailing address

4933 NW 48TH Ter
Tamarac, FL 33319-3640
Phone (954) 842-9415

Other practice location 1

4933 NW 48th Terrace
Tamarac, FL 33319

Other practice location 2

4933 NW 48th Terrace
4933 NW 48th Terrace
Tamarac, FL 33319

Other practice location 3

4933 NW 48th Ter
Tamarac, FL 33319-3640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR, AZ, NH, WA, CA, TX, NM8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20241114001320 FL Practitioner - Nurse Practitioner 3779017611 Reassigns benefits to 1 organization
I20250226002110 OR Practitioner - Nurse Practitioner 3779017611 Reassigns benefits to 2 organizations
I20250227002313 AZ Practitioner - Nurse Practitioner 3779017611 Reassigns benefits to 1 organization
I20250228000663 NH Practitioner - Nurse Practitioner 3779017611 Reassigns benefits to 1 organization
I20250303000315 WA Practitioner - Nurse Practitioner 3779017611 Reassigns benefits to 2 organizations
I20250307003297 CA Practitioner - Nurse Practitioner 3779017611 Reassigns benefits to 1 organization
I20250312003659 TX Practitioner - Nurse Practitioner 3779017611 Reassigns benefits to 1 organization
I20251104004789 NM Practitioner - Nurse Practitioner 3779017611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81196NMMDGeriatric Medicine (Internal Medicine) Physician
1014613FLMDFamily Nurse Practitioner
1180039TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Jan 2, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 31, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1336816313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 NW 48TH TER",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193640",
            "telephone_number": "954-842-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 NW 48TH TER",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193640",
            "telephone_number": "954-842-9415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4933 NW 48th Terrace",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "33319",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4933 NW 48th Terrace",
            "address_2": "4933 NW 48th Terrace",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "33319",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4933 NW 48th Ter",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333193640",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAINT HILAIRE",
        "first_name": "MARCCENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021801",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "1014613",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1180039",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1180039",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.