Active NPI
Chelah Carine Marcellus, ARNP
- Family Nurse Practitioner
- Mount Dora, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9262765
- Practice address
- 18550 US Highway 441
Ste a
Mount Dora, FL 32757-6751 - Phone
- (352) 735-3755
- Fax
- (352) 735-3151
- NPI assigned
- Aug 24, 2015
- Last updated
- Apr 19, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9262765 | FL | Primary |
Addresses
Primary practice location
18550 US Highway 441
Ste a
Mount Dora, FL 32757-6751
Mailing address
18550 US Highway 441
Ste a
Mount Dora, FL 32757-6751
Phone (352) 735-3755
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7000
3663 S Miami Ave
Mercy Hospital
Miami, FL 33133-4253
Phone (305) 854-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9262765 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Broward Hospital District | Current | Accepting new patients | |
| First Docs PC | Current | Accepting new patients | |
| Physicians of Central Florida PA | Current | Accepting new patients | |
| Oak Grove Physician Services, P.a. | Current | Accepting new patients | |
| Hospital Medicine Services of FL, LLC | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| Physicians of Central Florida, LLC | Current | Accepting new patients | |
| South Broward Hospital District | Past | Accepting new patients |
Locations
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
3702 Washington St
Ste 303
Hollywood, FL 33021
Phone (954) 265-8326
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000
3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131
2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581
18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755
18550 US Highway 441
Ste A
Mount Dora, FL 32757
Phone (352) 735-3755
160 NW 170th St
North Miami Beach, FL 33169
Phone (305) 585-8957
703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000
830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801
3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Aventura, FL
- NPI 1710684857
-
- Internal Medicine Physician
- North Miami Beach, FL
- NPI 1689446700
-
dba Physicians of Central Florida, PA
- Internal Medicine Physician
- Mount Dora, FL
- NPI 1861421018
-
dba Memorial Division of Rehabilitative Medicine
- Physical Medicine & Rehabilitation Physician
- Hollywood, FL
- NPI 1750726378
-
- Internal Medicine Physician
- Summerfield, FL
- NPI 1609075951
-
dba Memorial Home Infusion
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
dba Memorial Division of Pediatric Orthopedics
- Pediatric Orthopaedic Surgery Physician
- Hollywood, FL
- NPI 1407865520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1609243849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18550 US HIGHWAY 441",
"address_2": "STE A",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576751",
"telephone_number": "352-735-3755",
"fax_number": "352-735-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18550 US HIGHWAY 441",
"address_2": "STE A",
"city": "MOUNT DORA",
"state": "FL",
"postal_code": "327576751",
"telephone_number": "352-735-3755",
"fax_number": "352-735-3151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCELLUS",
"first_name": "CHELAH",
"middle_name": "CARINE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-24",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9262765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Dora, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.