Individual provider Active NPI

Jerry L Marlin, ARNP

  • Nurse Practitioner
  • Fort Pierce, FL
National Provider Identifier
1689997397
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP3274792 Issued in FL
Practice address
2000 Hartman Rd Ste 1
Fort Pierce, FL 34947-4412
Phone
(772) 465-1170
Fax
(772) 465-1171
NPI assigned
Mar 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP3274792 FL Primary

Addresses

Primary practice location

2000 Hartman Rd Ste 1
Fort Pierce, FL 34947-4412

Mailing address

2000 Hartman Rd Ste 1
Fort Pierce, FL 34947-4412
Phone (772) 465-1170

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
I20130722000096 FL Practitioner - Nurse Practitioner 5698916435 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
National Kidney Partners, LLP CurrentSince Dec 28, 2022 Accepting new patients
Samerah Razuman MD PLLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

2000 Hartman Rd
Ste 1
Fort Pierce, FL 34947
Phone (772) 465-1170

14134 Nephron Ln
Hudson, FL 34667
Phone (727) 863-5418

107 NE 19th Dr
Okeechobee, FL 34972
Phone (772) 402-3449

300 NW 70th Ave
Ste 302
Plantation, FL 33317
Phone (954) 673-1525

1631 SW Gatlin Blvd
Ste 102
Port Saint Lucie, FL 34953
Phone (772) 465-1170

1401 SE Goldtree Dr
Ste 102
Port St Lucie, FL 34952
Phone (772) 337-3540

Interoperability endpoints

  • Direct secure messaging: jmarlin80974@direct.acumenmd.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1689997397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HARTMAN RD STE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474412",
            "telephone_number": "772-465-1170",
            "fax_number": "772-465-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HARTMAN RD STE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474412",
            "telephone_number": "772-465-1170",
            "fax_number": "772-465-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLIN",
        "first_name": "JERRY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP3274792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.