Individual provider Active NPI

Nithchel Marcelin, DMSC, PA-C

  • Physician Assistant
  • Jensen Beach, FL
National Provider Identifier
1417024696
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103611 Issued in FL
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

Updated by the provider on Aug 14, 2026

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 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

IdentifierTypeStateIssuer
PA9103611OtherFLFLORIDA LICENSE

Other names 1

  • Mrs. Nithchel Marcelin-Appadoo Other name

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

OrganizationSpecialtyStatusNew patients
Talib Omer MD PC CurrentSince Jan 1, 2022 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.

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.

Verify at the official NPI Registry.