Individual provider Active NPI

Marcia E King, APRN

  • Nurse Practitioner
  • Cocoa, FL
National Provider Identifier
1760452940
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 2838142 Issued in FL
Practice address
1451 Dixon Blvd
Cocoa, FL 32922-6411
Phone
(321) 636-4357
NPI assigned
Jan 23, 2006
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 ARNP 2838142 FL Primary
Family Nurse Practitioner 363LF0000X APRN2838142 FL

Addresses

Primary practice location

1451 Dixon Blvd
Cocoa, FL 32922-6411

Mailing address

1451 Dixon Blvd
Cocoa, FL 32922-6411
Phone (321) 636-4357

Other names 1

  • Mrs. Marcia E King-Ahmad Former name

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
I20060421000261 FL Practitioner - Nurse Practitioner 0042220956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bell Eve IncGroup PAC ID 3274895388, 2 clinicians

Practice addresses (Care Compare)

1451 Dixon Blvd
Cocoa, FL 32922-6411
Phone (321) 636-4357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 2838142FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bell Eve, Inc. CurrentSince Sep 27, 2023 Accepting new patients
Charles S. Theofilos MD PA PastSince Mar 7, 2021 Accepting new patients

Locations

1451 Dixon Blvd
Cocoa, FL 32922
Phone (321) 636-4357

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1760452940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226411",
            "telephone_number": "321-636-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 DIXON BLVD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226411",
            "telephone_number": "321-636-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARCIA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 2838142",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2838142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "KING-AHMAD",
            "middle_name": "E",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cocoa, FL

Sources for this page

Verify at the official NPI Registry.