Active NPI
Nithchel Marcelin, DMSC, PA-C
- Physician Assistant
- Jensen Beach, FL
National Provider Identifier
1417024696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9103611
- Practice address
- 2710 NW Windemere Dr
Jensen Beach, FL 34957-3527 - Phone
- (772) 643-7220
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA58778 | CA | |
| Physician Assistant | 363A00000X | PA9103611 | FL | Primary |
Addresses
Primary practice location
2710 NW Windemere Dr
Jensen Beach, FL 34957-3527
Mailing address
2710 NW Windemere Dr Ste 105
Jensen Beach, FL 34957-3527
Phone (772) 643-7220
Other practice location 1
10780 Santa Monica Blvd Ste 105
Los Angeles, CA 90025-7613
Phone (424) 521-1066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9103611 | Other | FL | FLORIDA LICENSE |
Other names 1
- Mrs. Nithchel Marcelin-Appadoo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talib Omer MD PC | Current | Accepting new patients | |
| Housecalls Express Inc | Past | Accepting new patients |
Locations
3415 S Sepulveda Blvd
Fl 10
Los Angeles, CA 90034
Phone (310) 626-0149
303 Peachtree St NE
Atlanta, GA 30308
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1821744608
-
- Geriatric Medicine (Family Medicine) Physician
- Stuart, FL
- NPI 1346349958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1417024696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 NW WINDEMERE DR STE 105",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349573527",
"telephone_number": "772-643-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 NW WINDEMERE DR",
"city": "JENSEN BEACH",
"state": "FL",
"postal_code": "349573527",
"telephone_number": "772-643-7220"
}
],
"practiceLocations": [
{
"address_1": "10780 Santa Monica Blvd Ste 105",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900257613",
"country_code": "US",
"telephone_number": "424-521-1066",
"fax_number": "424-326-8553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCELIN",
"first_name": "NITHCHEL",
"name_prefix": "Ms.",
"credential": "DMSC, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA58778",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9103611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "PA9103611",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NITHCHEL",
"last_name": "MARCELIN-APPADOO",
"prefix": "MRS.",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jensen Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.