Active NPI
Marina B Ross
- Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
- License
- APRN11001032
- Practice address
- 305 Skyline Dr Ste 1
Lady Lake, FL 32159-4592 - Phone
- (352) 431-3940
- Fax
- (352) 431-3173
- NPI assigned
- Jan 28, 2019
- 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 |
|---|---|---|---|---|
| Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0810X | APRN11001032 | FL | Primary |
Addresses
Primary practice location
305 Skyline Dr Ste 1
Lady Lake, FL 32159-4592
Mailing address
104 E Dixie Ave
Leesburg, FL 34748-6350
Phone (352) 431-3940
Other practice location 1
104 E Dixie Ave
Leesburg, FL 34748-6350
Phone (352) 431-3940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN11001032 | Other | FL | LICENSE |
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15544 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (352) 431-3940
3235 SW 34TH St
Ocala, FL 34474-7501
Phone (352) 431-3940
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.81 of 100
- Quality
- 80.53
- Improvement activities
- 40
- Cost
- 75.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11001032 | FL | MD | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony United Florida, LLC | Current | Accepting new patients |
Locations
305 Skyline Dr
Ste 1
Lady Lake, FL 32159
Phone (352) 451-1521
104 E Dixie Ave
Leesburg, FL 34748
Phone (352) 451-1521
3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100
15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340
Interoperability endpoints
- marina.ross@harmonyhealthcare.medentdirect.com
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Winter Garden, FL
- NPI 1063842870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1669936258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347486350",
"telephone_number": "352-431-3940",
"fax_number": "352-431-3173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 SKYLINE DR STE 1",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321594592",
"telephone_number": "352-431-3940",
"fax_number": "352-431-3173"
}
],
"practiceLocations": [
{
"address_1": "104 E Dixie Ave",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347486350",
"country_code": "US",
"telephone_number": "352-431-3940",
"fax_number": "352-431-3173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "MARINA",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0810X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
"state": "FL",
"license": "APRN11001032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "APRN11001032",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.