Individual provider Active NPI

Marcela Nur, M.D.

  • Pediatric Adolescent Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1538317607
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME85598 Issued in FL
Practice address
9981 S Healthpark Dr Ste 454
Fort Myers, FL 33908-3618
Phone
(239) 343-9710
Fax
(239) 343-9715
NPI assigned
Sep 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X ME85598 FL Primary

Addresses

Primary practice location

9981 S Healthpark Dr Ste 454
Fort Myers, FL 33908-3618

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-9710

Other practice location 1

1580 NW 10th Ave Ste 267
Miami, FL 33136
Phone (305) 243-5880

Other identifiers 1

IdentifierTypeStateIssuer
102634600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mnur250846@Direct.leememorial.org Lee Memorial Health System

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 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
I20091006000338 TX Practitioner - Pediatric Medicine 4385780329 Reassigns benefits to 1 organization
I20190612003085 FL Practitioner - Pediatric Medicine 4385780329 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Lee Memorial Health System Pediatrics CurrentSince Nov 2, 2020 Accepting new patients
University of Miami Pediatrics CurrentSince Jan 1, 2020 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Pediatrics CurrentSince Dec 15, 1996 Accepting new patients
University of Miami Current Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Dec 15, 1996 Accepting new patients
Lee Memorial Health System CurrentSince Nov 2, 2020 Accepting new patients
Premier Family Care I, Inc Pediatrics Past Accepting new patients

Locations

9981 S Healthpark Dr
Ste 454
Fort Myers, FL 33908
Phone (239) 343-9710

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

1601 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4029

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1580 NW 10th Ave
Ste 267
Miami, FL 33136
Phone (305) 243-5880

4004 82nd St
Lubbock, TX 79423
Phone (806) 722-3150

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

3502 9th St
Ste 130
Lubbock, TX 79415
Phone (806) 743-1188

4102 24th St
Ste 507
Lubbock, TX 79410
Phone (806) 725-7750

Interoperability endpoints

  • Direct secure messaging: marcela.nur@direct.myteamcare.com
  • Direct secure messaging: mnur250846@direct.leememorial.org

Organizations & group practices 8

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1538317607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-9710",
            "fax_number": "239-343-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9981 S HEALTHPARK DR STE 454",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083618",
            "telephone_number": "239-343-9710",
            "fax_number": "239-343-9715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1580 NW 10th Ave Ste 267",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33136",
            "country_code": "US",
            "telephone_number": "305-243-5880",
            "fax_number": "305-243-5956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUR",
        "first_name": "MARCELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME85598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102634600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mnur250846@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "Lee Memorial Health System",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.