Active NPI
Marvens Jean, APRN
- Adult Health Nurse Practitioner
- Deerfield Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11027872
- Practice address
- 2001 W Sample Road
Suite 322
Deerfield Beach, FL 33064-1342 - Phone
- (954) 481-9942
- Fax
- (954) 481-9917
- NPI assigned
- Aug 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APRN11027872 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN11027872 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN11027872 | FL | Primary |
Addresses
Primary practice location
2001 W Sample Road
Suite 322
Deerfield Beach, FL 33064-1342
Mailing address
2001 W Sample Road
Suite 322
Deerfield Beach, FL 33064-1342
Phone (954) 481-9942
Other practice location 1
9325 Glades Rd Ste 205
Boca Raton, FL 33434-3988
Phone (561) 314-7200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9325 Glades Rd
Suite 205
Boca Raton, FL 33434-3988
Phone (954) 481-9942
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11027872 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Orthopedic Center PA | Current | Accepting new patients | |
| Sports and Orthopedic Center PA | Current | Accepting new patients |
Locations
9325 Glades Rd
Ste 205
Boca Raton, FL 33434
Phone (561) 314-7200
6280 W Sample Rd
Ste 203
Coral Springs, FL 33067
Phone (954) 481-9942
2001 W Sample Rd
Ste 322
Deerfield Beach, FL 33064
Phone (954) 481-9942
3428 N Roosevelt Blvd
Key West, FL 33040
Phone (305) 295-9797
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.
-
- Orthopaedic Surgery Physician
- Deerfield Beach, FL
- NPI 1093111890
-
- Orthopaedic Surgery Physician
- Boca Raton, FL
- NPI 1053765271
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Northwest Hospital
- General Acute Care Hospital
- Margate, FL
- NPI 1063466563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1760267207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 W SAMPLE ROAD",
"address_2": "SUITE 322",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "330641342",
"telephone_number": "954-481-9942",
"fax_number": "954-481-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W SAMPLE ROAD",
"address_2": "SUITE 322",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "330641342",
"telephone_number": "954-481-9942",
"fax_number": "954-481-9917"
}
],
"practiceLocations": [
{
"address_1": "9325 Glades Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334343988",
"country_code": "US",
"telephone_number": "561-314-7200",
"fax_number": "561-314-7201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEAN",
"first_name": "MARVENS",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-31",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN11027872",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "APRN11027872",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN11027872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.