Individual provider Active NPI

Marina Efrosini Scopelitis

  • Physician Assistant
  • Jupiter, FL
National Provider Identifier
1396406286
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117844 Issued in FL
Practice address
2141 S Alternate A1A Ste 420
Jupiter, FL 33477-4063
Phone
(561) 743-5580
Fax
(561) 743-5595
NPI assigned
Jan 4, 2022
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117844 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2141 S Alternate A1A Ste 420
Jupiter, FL 33477-4063

Mailing address

6048 Winding Lake Dr
Jupiter, FL 33458-3739
Phone (561) 309-1668

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
I20231016000728 FL Practitioner - Physician Assistant 0244685964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10131 Forest Hill Blvd
Wellington, FL 33414-6109
Phone (561) 803-8616

10131 W Forest Hill Blvd
Wellington, FL 33414-6109
Phone (561) 798-6600

440 N State Rd
Royal Palm Beach, FL 33411-3504
Phone (561) 798-6600

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9117844FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. CurrentSince Oct 21, 2024 Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. CurrentSince Oct 21, 2024 Accepting new patients
Center for Bone and Joint Surgery of the Palm Beaches, P.a. Past Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Past Accepting new patients

Locations

440 N State Road 7
Ste C
Royal Palm Beach, FL 33411

10131 Forest Hill Blvd
Ste 230
West Palm Beach, FL 33414

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: marina.scopelitis.1@22724.direct.athenahealth.com
  • Direct secure messaging: mscopelitis27560@jupitermedicalcenter.direct-ci.com

Organizations & group practices 5

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": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1396406286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6048 WINDING LAKE DR",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583739",
            "telephone_number": "561-309-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 S ALTERNATE A1A STE 420",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774063",
            "telephone_number": "561-743-5580",
            "fax_number": "561-743-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOPELITIS",
        "first_name": "MARINA",
        "middle_name": "EFROSINI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117844",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.