Individual provider Active NPI

Margaret I Andem, ARNP, LCSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Marianna, FL
National Provider Identifier
1679670533
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9308448 Issued in FL
Practice address
4396 Lafayette St
Suite 209
Marianna, FL 32446-3356
Phone
(850) 573-2233
Fax
(850) 482-2079
NPI assigned
Sep 20, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9308448 FL Primary

Addresses

Primary practice location

4396 Lafayette St
Suite 209
Marianna, FL 32446-3356

Mailing address

PO Box 844
Marianna, FL 32447-0844
Phone (850) 573-2233

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
I20140313001257 FL Practitioner - Nurse Practitioner 7113928292 Reassigns benefits to 1 organization
Practice locations: Marianna, FL

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4396 Lafayette St
Suite 209
Marianna, FL 32446-7700
Phone (850) 573-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Center, Inc CurrentSince Nov 4, 2014 Accepting new patients
Bridgeway Center Inc CurrentSince Nov 4, 2014 Accepting new patients
Florida Therapy Services, Inc PastSince Jul 17, 2021 Accepting new patients
Hialeah M R I Inc Past Accepting new patients

Locations

299 W Railroad Ave
Crestview, FL 32536
Phone (850) 689-7810

137 Hospital Dr NE
Ft Walton Bch, FL 32548
Phone (850) 226-8857

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679670533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324470844",
            "telephone_number": "850-573-2233",
            "fax_number": "850-482-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4396 LAFAYETTE ST",
            "address_2": "SUITE 209",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463356",
            "telephone_number": "850-573-2233",
            "fax_number": "850-482-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDEM",
        "first_name": "MARGARET",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "ARNP, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9308448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

Verify at the official NPI Registry.