Individual provider Active NPI

Levi Marcellin, APRN

  • Adult Health Nurse Practitioner
  • Tavares, FL
National Provider Identifier
1760097794
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11009037 Issued in FL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
112654900MedicaidFL

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
I20200924000926 FL Practitioner - Nurse Practitioner 4284053281 Reassigns benefits to 4 organizations

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
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
Central Florida Pulmonary Group PAGroup PAC ID 8729983523, 16 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

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

LicenseStateTypeSpecialty
11009037FLMDNurse Practitioner
APRN11009037FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Pulmonary Group PA CurrentSince Nov 15, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Mid Florida Kidney and Hypertension Care PL CurrentSince Oct 1, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner PastSince Nov 15, 2021 Accepting new patients
Lake Cardiovascular Diagnostic Center L.L.C PastSince Jul 9, 2021 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.