Individual provider Active NPI

Marie Ann Popp

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1679223853
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018827 Issued in FL
Practice address
4124 SE 23Rd Ave
Ocala, FL 34480-9107
Phone
(352) 438-4082
NPI assigned
Mar 28, 2022
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11018827 FL Primary

Addresses

Primary practice location

4124 SE 23Rd Ave
Ocala, FL 34480-9107

Mailing address

4124 SE 23Rd Ave
Ocala, FL 34480-9107
Phone (352) 438-4082

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
I20220622003267 FL Practitioner - Nurse Practitioner 2466831391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Intensivist Group LLCGroup PAC ID 1355646399, 3 clinicians

Practice addresses (Care Compare)

4600 SW 46TH CT
Ocala, FL 34474-5708
Phone (352) 291-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018827FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Intensivist Group LLC CurrentSince Jul 8, 2024 Accepting new patients
Inpatient Care Specialists LLC CurrentSince May 13, 2022 Accepting new patients
Florida Health Care LLC CurrentSince May 13, 2022 Accepting new patients

Locations

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

1834 SW 1st Ave
Ste 101
Ocala, FL 34471
Phone 3527325552312

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

Interoperability endpoints

  • Direct secure messaging: mpopp182820@direct.shands.ufl.edu

Organizations & group practices 3

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.

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1679223853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 SE 23RD AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344809107",
            "telephone_number": "352-438-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 SE 23RD AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344809107",
            "telephone_number": "352-438-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPP",
        "first_name": "MARIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.