Individual provider Active NPI

Marcos Gayol, APRN

  • Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1619747508
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11037836 Issued in FL
Practice address
210 S Beach St Ste 202
Daytona Beach, FL 32114-4430
Phone
(386) 227-6821
NPI assigned
Jan 3, 2024
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11037836 FL Primary

Addresses

Primary practice location

210 S Beach St Ste 202
Daytona Beach, FL 32114-4430

Mailing address

210 S Beach St Ste 202
Daytona Beach, FL 32114-4430

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403001034 FL Practitioner - Nurse Practitioner 5991229684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring Heart Family Nurse Practitioner PLLCGroup PAC ID 2860809522, 4 clinicians

Practice addresses (Care Compare)

21 Old Kings Rd N
Unit 108
Palm Coast, FL 32137-8254
Phone (407) 550-7077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11037836FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Heart Family Nurse Practitioner PLLC CurrentSince Mar 26, 2025 Accepting new patients

Locations

500 Crockett Blvd
Merritt Island, FL 32953
Phone (321) 454-4035

21 Old Kings Rd N
Unit 108
Palm Coast, FL 32137
Phone (386) 627-4553

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1619747508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S BEACH ST STE 202",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S BEACH ST STE 202",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321144430",
            "telephone_number": "386-227-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYOL",
        "first_name": "MARCOS",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-03",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11037836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.