Individual provider Active NPI

Marise-Jasmine C Metayer, FNP

  • Family Nurse Practitioner
  • West Palm, FL
National Provider Identifier
1780317065
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020418 Issued in FL
Practice address
3285 El Camino Real
NA
West Palm, FL 33409
Phone
(561) 628-1658
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11020418 FL Primary

Addresses

Primary practice location

3285 El Camino Real
NA
West Palm, FL 33409

Mailing address

3285 El Camino Real
NA
West Palm, FL 33409
Phone (561) 628-1658

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
I20221116002911 FL Practitioner - Nurse Practitioner 1456729821

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2240 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-3410

3285 El Camino Real
West Palm BCH, FL 33409-7834

PO Box
Suite 132
Covington, GA 30015-0132

PO Box
Suite 4189
Deerfield Beach, FL 33442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020418FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J&P Urgent Healthcare PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

2240 Palm Beach Lakes Blvd
West Palm Beach, FL 33409
Phone (561) 628-1658

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mmetayer20424@jupitermedicalcenter.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1780317065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 EL CAMINO REAL",
            "address_2": "NA",
            "city": "WEST PALM",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "561-628-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 EL CAMINO REAL",
            "address_2": "NA",
            "city": "WEST PALM",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "561-628-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METAYER",
        "first_name": "MARISE-JASMINE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm, FL

Sources for this page

Verify at the official NPI Registry.