Individual provider Active NPI

Ingrid Debbieann Marsden

  • Nurse Practitioner
  • Port St Lucie, FL
National Provider Identifier
1659983336
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11008059 Issued in FL
Practice address
439 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731
Phone
(772) 342-0507
NPI assigned
Aug 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11008059 FL Primary
Family Nurse Practitioner 363LF0000X 11008059 FL

Addresses

Primary practice location

439 NW Prima Vista Blvd
Port St Lucie, FL 34983-8731

Mailing address

12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637-0904
Phone (813) 871-8200

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
I20210310000796 FL Practitioner - Nurse Practitioner 1850707266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Coast Palliative Care, LLCGroup PAC ID 0648453589, 4 clinicians

Practice addresses (Care Compare)

1201 SE Indian St
Stuart, FL 34997-5688

5000 Dunn Rd
Fort Pierce, FL 34981-4901
Phone (772) 807-6425

5000 NW Dunn Rd
Fort Pierce, FL 34981-4901

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008059FLMDNurse Practitioner
11008059FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Palliative Care, LLC CurrentSince Aug 31, 2022 Accepting new patients
Chapters Health Palliative Care, LLC CurrentSince Dec 7, 2020 Accepting new patients

Locations

5000 NW Dunn Rd
Fort Pierce, FL 34981
Phone (772) 403-4500

1201 SE Indian St
Stuart, FL 34997
Phone (772) 403-4500

12470 Telecom Dr
Ste 300
Temple Terrace, FL 33637
Phone (813) 871-8111

12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637
Phone (813) 871-8183

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1659983336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR",
            "address_2": "STE 300W",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370904",
            "telephone_number": "813-871-8200",
            "fax_number": "813-357-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 NW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838731",
            "telephone_number": "772-342-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSDEN",
        "first_name": "INGRID",
        "middle_name": "DEBBIEANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008059",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11008059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.