Individual provider Active NPI

Marlene Solange Germosen, APRN

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1760064208
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010078 Issued in FL
Practice address
14251 SW 163Rd St
Miami, FL 33177-1814
Phone
(786) 999-5223
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 APRN11010078 FL Primary

Addresses

Primary practice location

14251 SW 163Rd St
Miami, FL 33177-1814

Mailing address

14251 SW 163Rd St
Miami, FL 33177-1814
Phone (786) 999-5223

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
I20230703001520 FL Practitioner - Nurse Practitioner 6103285507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

3683 S Miami Ave
Suite 500
Miami, FL 33133-4238
Phone (305) 285-5092

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach General Surgery LLC CurrentSince Jun 1, 2023 Accepting new patients
Palm Beach General Surgery LLC Past Accepting new patients

Locations

3683 S Miami Ave
Ste 500
Miami, FL 33133
Phone (305) 285-5025

6705 SW 57th Ave
Ste 504
South Miami, FL 33143
Phone (305) 669-7331

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: marlene.germosen@hca4.eclinicaldirectplus.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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1760064208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14251 SW 163RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771814",
            "telephone_number": "786-999-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14251 SW 163RD ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771814",
            "telephone_number": "786-999-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMOSEN",
        "first_name": "MARLENE",
        "middle_name": "SOLANGE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.