Individual provider Active NPI

Marvens Jean, APRN

  • Adult Health Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1760267207
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11027872 Issued in FL
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

Updated by the provider on May 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927000911 FL Practitioner - Nurse Practitioner 0244684181 Reassigns benefits to 1 organization

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
Sports and Orthopedic Center PAGroup PAC ID 3072834480, 3 clinicians

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

LicenseStateTypeSpecialty
APRN11027872FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Orthopedic Center PA CurrentSince Sep 5, 2023 Accepting new patients
Sports and Orthopedic Center PA CurrentSince Sep 5, 2023 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.