Active NPI
Marlene M Summers, CNM
- Obstetrics & Gynecology Nurse Practitioner
- Lake City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 1370482
- Practice address
- 449 SE Baya Drive
Lake City, FL 32025 - Phone
- (386) 755-0500
- Fax
- (386) 755-9217
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 1370482 | FL | Primary |
Addresses
Primary practice location
449 SE Baya Drive
Lake City, FL 32025
Mailing address
6400 W Newberry Rd
Ste 207
Gainesville, FL 32605-6600
Phone (352) 371-2011
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240386 | Other | FL | AVMED |
| Y9008 | Other | FL | BCBS PROVIDER NUMBER |
| 340059000 | Medicaid | FL |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3140 NW Medical Ctr LN
Suite 140
Lake City, FL 32055-4735
Phone (386) 438-5095
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 84.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1370482 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Woman Care, LLC | Current | Accepting new patients | |
| Pastor H. Rios, MD | Past | Accepting new patients | |
| Womencare PA | Past | Accepting new patients | |
| Daina P Greene MD PA | Past | Accepting new patients |
Locations
2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233
199 S US Highway 17
East Palatka, FL 32131
Phone (386) 325-6699
6440 W Newberry Rd
Ste 508
Gainesville, FL 32605
Phone (352) 332-7222
6400 W Newberry Rd
Ste 207
Gainesville, FL 32605
Phone (352) 371-2011
3140 NW Medical Center Ln
Ste 140
Lake City, FL 32055
Phone (386) 438-5095
3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814
Interoperability endpoints
- marlene.summers.2@2183.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
-
- Obstetrics & Gynecology Physician
- Lake City, FL
- NPI 1275768889
-
- Specialist
- Lake City, FL
- NPI 1023102555
-
- Specialist
- Orlando, FL
- NPI 1366529042
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Lake City Hospital
- General Acute Care Hospital
- Lake City, FL
- NPI 1992751879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1659465755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 W NEWBERRY RD",
"address_2": "STE 207",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326056600",
"telephone_number": "352-371-2011",
"fax_number": "352-384-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 SE BAYA DRIVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "32025",
"telephone_number": "386-755-0500",
"fax_number": "386-755-9217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "MARLENE",
"middle_name": "M",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "FL",
"license": "1370482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "240386",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "Y9008",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340059000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.