Individual provider Active NPI

Sarah J Marzolf, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1700132909
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201250115NP Issued in OR
Practice address
5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone
(971) 202-5500
Fax
(971) 202-5555
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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 201250115NP OR Primary

Addresses

Primary practice location

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827

Mailing address

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone (971) 202-5500

Other practice location 1

10803 SE Cherry Blossom Dr
Portland, OR 97216-3107
Phone (503) 261-7200

Other practice location 2

10803 SE Cherry Blossom Dr
Portland, OR 97216-3107
Phone (503) 261-7200

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
I20220615003011 FL Practitioner - Nurse Practitioner 1052561859 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rmed LLC CurrentSince Jun 1, 2022 Accepting new patients
Rmed LLC Current Accepting new patients
Rmed LLC CurrentSince Jun 1, 2022 Accepting new patients
Valeria Health, LLC CurrentSince Dec 1, 2019 Accepting new patients
Mobilmed PastSince Apr 7, 2015 Accepting new patients

Locations

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

10803 SE Cherry Blossom Dr
Portland, OR 97216
Phone (503) 261-7210

Organizations & group practices 5

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1700132909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393827",
            "telephone_number": "971-202-5500",
            "fax_number": "971-202-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 S MACADAM AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393827",
            "telephone_number": "971-202-5500",
            "fax_number": "971-202-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10803 SE Cherry Blossom Dr",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972163107",
            "country_code": "US",
            "telephone_number": "503-261-7200",
            "fax_number": "503-261-7226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10803 SE Cherry Blossom Dr",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972163107",
            "country_code": "US",
            "telephone_number": "503-261-7200",
            "fax_number": "503-261-7226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARZOLF",
        "first_name": "SARAH",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201250115NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.