Individual provider Active NPI

Marina Nesterenko, M.D.

  • Psychiatry Physician
  • Sarasota, FL
National Provider Identifier
1346404118
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
259220 Issued in NY
Practice address
5682 Bee Ridge Rd
Suite 100
Sarasota, FL 34233-1540
Phone
(941) 371-3349
NPI assigned
Jul 10, 2008
Last updated
Sep 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 259220 NY Primary

Addresses

Primary practice location

5682 Bee Ridge Rd
Suite 100
Sarasota, FL 34233-1540

Mailing address

5682 Bee Ridge Rd
Suite 100
Sarasota, FL 34233-1540
Phone (941) 371-3349

Other names 1

  • Dr. Maryna Rudzynska Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161029000279 FL Practitioner - Psychiatry 0244406106 Reassigns benefits to 4 organizations
I20231011002247 DC Practitioner - Psychiatry 0244406106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manatee Medical Specialists LLCGroup PAC ID 9739283342, 7 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

2227 59TH St W
Bradenton, FL 34209-7017
Phone (941) 795-5922

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
259220NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatry CurrentSince May 2, 2023 Accepting new patients
Lightshare Behavioral Wellness and Recovery CurrentSince Jul 1, 2020 Accepting new patients
Manatee Medical Specialists LLC CurrentSince Feb 1, 2022 Accepting new patients
Center of Revitalizing Psychiatry PC PastSince Mar 15, 2018 Accepting new patients
Lightshare Behavioral Wellness and Recovery PastSince Jul 4, 2021 Accepting new patients
The Florida Center for Early Childhood, Inc. Past Accepting new patients

Locations

10 E Oak St
Arcadia, FL 34266
Phone (863) 494-1324

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

12497 Tamiami Trl S
Ste 4
North Port, FL 34287
Phone (941) 492-4300

2227 59th St W
Palma Sola, FL 34209
Phone (941) 795-5922

1451 10th St
Sarasota, FL 34236
Phone (941) 331-2530

1750 17th St
Ste J2
Sarasota, FL 34234
Phone (941) 552-2075

4579 Northgate Ct
Sarasota, FL 34234
Phone (941) 552-2465

166 Center Rd
Venice, FL 34285
Phone (740) 388-8567

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: marina.nesterenko.1@8802.direct.athenahealth.com

Organizations & group practices 7

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1346404118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5682 BEE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331540",
            "telephone_number": "941-371-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5682 BEE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331540",
            "telephone_number": "941-371-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTERENKO",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "259220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYNA",
            "last_name": "RUDZYNSKA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.