Margarita Brodskaya, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11020732 Issued in FL

Practice address

8966 Falcon Pointe Loop
Fort Myers, FL 33912-1475

Phone

(239) 745-5154

NPI assigned

Jul 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Dr J S House Calls LLC

  • Family Medicine Physician
  • Marco Island, FL
  • NPI 1215333596
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1609500974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8966 FALCON POINTE LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121475",
            "telephone_number": "239-745-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8966 FALCON POINTE LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339121475",
            "telephone_number": "239-745-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKAYA",
        "first_name": "MARGARITA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brock S Frear DC PLLC
• Ann V Brock, P.A.
• Gabriella Brock, PHARM.D.
• Aaron Daniel Broderick, D.M.D.
• Anne Lindsey Broderick, D.M.D
• Julie Yolanda Bronson, FNP-C
• Brookdale Senior Living Communities, Inc (Brookdale Fort Myers The Colony)
• Brookdale Senior Living Communities, Inc. (Sterling House of Fort Myers)
• Brooks Eye Care LLC
• Crystal Anita Brooks, PH.D.

• Family Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.