Marily Falcon Fernandez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11033399 Issued in FL

Practice address

209 Ponce de Leon St
Royal Palm Beach, FL 33411-1105

Phone

(561) 309-3369

NPI assigned

Jun 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ideal Care Medical Center IncGroup PAC ID 4284041500, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EABCDD/Endpoint/EABCDD

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.

• Ideal Care Medical Center Inc.

  • Family Medicine Physician
  • Greenacres, FL
  • NPI 1336747179
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1679316004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PONCE DE LEON ST",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PONCE DE LEON ST",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111105",
            "telephone_number": "561-309-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCON FERNANDEZ",
        "first_name": "MARILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Excellent, D.M.D.
• Express Care Pharmacy (Royal Palm Pharmacy LLC)
• Exquisite Therapeutic Home Car Services, LLC
• Eyes on Southern PLLC
• Eyesavers Eyewear Inc
• Falk Prosthetics & Orthotics, Inc.
• Family Dentist of Palm Beach
• Family First Multispecialty Concierge Medical Group Inc
• Lisa Marie Farley, LMHC
• Federation of Families of Florida, Inc.

• Family Nurse Practitioner in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.

Verify at the official NPI Registry.