Individual provider Active NPI

Mariette Dorcelus II, ARNP

  • Family Nurse Practitioner
  • Royal Palm Beach, FL
National Provider Identifier
1740798891
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9361053 Issued in FL
Practice address
11987 Southern Blvd # 1108
Royal Palm Beach, FL 33411-7619
Phone
(561) 270-9620
NPI assigned
Jan 10, 2018
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 9361053 FL
Family Nurse Practitioner 363LF0000X 9361053 FL Primary

Addresses

Primary practice location

11987 Southern Blvd # 1108
Royal Palm Beach, FL 33411-7619

Mailing address

11987 Southern Blvd # 1108
Royal Palm Beach, FL 33411-7619
Phone (561) 270-9620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, CO, CA, MO5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20210503001969 TX Practitioner - Nurse Practitioner 1658606652 Reassigns benefits to 1 organization
I20230825000114 FL Practitioner - Nurse Practitioner 1658606652
I20231026003051 CO Practitioner - Nurse Practitioner 1658606652 Reassigns benefits to 1 organization
I20251021003085 CA Practitioner - Nurse Practitioner 1658606652 Reassigns benefits to 1 organization
I20260130002651 MO Practitioner - Nurse Practitioner 1658606652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4055 Valley View LN
Suite 700
Dallas, TX 75244-5045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9361053FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Aug 4, 2025 Accepting new patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Oct 16, 2023 Accepting new patients
Signify Health, LLC CurrentSince Dec 28, 2025 Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

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": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1740798891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11987 SOUTHERN BLVD # 1108",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117619",
            "telephone_number": "561-270-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11987 SOUTHERN BLVD # 1108",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334117619",
            "telephone_number": "561-270-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORCELUS",
        "first_name": "MARIETTE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "9361053",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9361053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.