Individual provider Active NPI

Marva Grace Carpenter, APRN

  • Family Nurse Practitioner
  • Greenacres, FL
National Provider Identifier
1790393205
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008625 Issued in FL
Practice address
3387 S Jog Rd Ste 103
Greenacres, FL 33467-2010
Phone
(561) 781-8090
Fax
(561) 781-8099
NPI assigned
Jul 21, 2020
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X APRN11008625 FL
Primary Care Clinic/Center 261QP2300X
Family Nurse Practitioner 363LF0000X APRN11008625 FL Primary

Addresses

Primary practice location

3387 S Jog Rd Ste 103
Greenacres, FL 33467-2010

Mailing address

10502 Pelican Dr
Wellington, FL 33414-6164
Phone (561) 797-6278

Other practice location 1

1485 Gateway Blvd Ste 101
Boynton Beach, FL 33426-8313
Phone (561) 231-6999

Other practice location 2

1037 S State Road 7 Ste 113
Wellington, FL 33414-6139
Phone (561) 798-3030

Other identifiers 1

IdentifierTypeStateIssuer
110079200MedicaidFL

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
I20210712002933 FL Practitioner - Nurse Practitioner 1052713112 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovacare Florida Urgent Care, LLCGroup PAC ID 1557802840, 20 clinicians

Practice addresses (Care Compare)

1037 S State Rd
7 Suite 113
Wellington, FL 33414-6139
Phone (561) 798-3030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008625FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Health CurrentSince Oct 13, 2025 Accepting new patients
Innovacare Florida Physicians, LLC Current Accepting new patients
MGC Health Solutions LLC CurrentSince Mar 24, 2025 Accepting new patients
Innovacare Florida Urgent Care, LLC CurrentSince Jul 21, 2025 Accepting new patients
Xpress Urgent Care, LLC. Past Accepting new patients

Locations

15689 Southern Blvd
Unit 102
Loxahatchee, FL 33470

15689 Southern Blvd
Unit 101
Lxhtchee Grvs, FL 33470
Phone (561) 614-1116

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

1037 S State Road 7
Ste 113
Wellington, FL 33414

1037 S State Road 7
Ste 211
Wellington, FL 33414
Phone (561) 798-8300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27472/brand/9/csg/1/fhir/r4
  • Direct secure messaging: marva.carpenter.1@27472.direct.athenahealth.com

Organizations & group practices 5

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1790393205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 PELICAN DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146164",
            "telephone_number": "561-797-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3387 S JOG RD STE 103",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672010",
            "telephone_number": "561-781-8090",
            "fax_number": "561-781-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1485 Gateway Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334268313",
            "country_code": "US",
            "telephone_number": "561-231-6999",
            "fax_number": "561-231-9696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1037 S State Road 7 Ste 113",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146139",
            "country_code": "US",
            "telephone_number": "561-798-3030",
            "fax_number": "561-798-8242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "MARVA",
        "middle_name": "GRACE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "APRN11008625",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110079200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.