Active NPI
Levi Marcellin, APRN
- Adult Health Nurse Practitioner
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11009037
- Practice address
- 1876 Nightingale LN
Tavares, FL 32778-4359 - Phone
- (352) 742-4447
- Fax
- (352) 742-4448
- NPI assigned
- Sep 15, 2020
- Last updated
- Jul 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11009037 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11009037 | FL | Primary |
Addresses
Primary practice location
1876 Nightingale LN
Tavares, FL 32778-4359
Mailing address
22 Underwood St
Orlando, FL 32806-1110
Phone (407) 648-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112654900 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 742-3581
1115 E Ridgewood St
Orlando, FL 32803-5727
Phone (407) 365-1332
22 W Underwood St
Orlando, FL 32806-1110
Phone (407) 648-3800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009037 | FL | MD | Nurse Practitioner |
| APRN11009037 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Pulmonary Group PA | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Mid Florida Kidney and Hypertension Care PL | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Nurse Practitioner | Past | Accepting new patients |
| Lake Cardiovascular Diagnostic Center L.L.C | Past | Accepting new patients |
Locations
610 Jasmine Rd
Altamonte Springs, FL 32701
Phone (407) 385-1332
631 Palm Springs Dr
Ste 104
Altamonte Springs, FL 32701
Phone (407) 265-2540
775 Gateway Dr
Ste 1010
Altamonte Springs, FL 32714
Phone (407) 265-2540
10916 Dylan Loren Cir
Orlando, FL 32825
Phone (407) 385-1332
1115 E Ridgewood St
Orlando, FL 32803
Phone (407) 841-1100
1400 S Orange Ave
Orlando, FL 32806
Phone (321) 841-1893
22 Underwood St
Orlando, FL 32806
Phone (321) 841-6263
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
326 N Mills Ave
Orlando, FL 32803
Phone (407) 841-1100
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- levi.marcellin.p1@direct.cfpg.nextgenshare.com
Organizations & group practices 7
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.
-
- Pulmonary Disease Physician
- Orlando, FL
- NPI 1104805951
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Specialist
- Altamonte Springs, FL
- NPI 1326196908
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Nurse Practitioner
-
- Cardiovascular Disease Physician
- Lady Lake, FL
- NPI 1801135173
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1760097794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 UNDERWOOD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "407-648-3800",
"fax_number": "407-872-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1876 NIGHTINGALE LN",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784359",
"telephone_number": "352-742-4447",
"fax_number": "352-742-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCELLIN",
"first_name": "LEVI",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11009037",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11009037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112654900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.