Individual provider Active NPI

Marise Desir

  • Family Nurse Practitioner
  • Jupiter, FL
National Provider Identifier
1801552393
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11016511 Issued in FL
Practice address
1000 E Indiantown Rd
Jupiter, FL 33477-5111
Phone
(561) 741-5566
Fax
(561) 295-5237
NPI assigned
Nov 9, 2021
Last updated
Apr 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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 11016511 FL Primary

Addresses

Primary practice location

1000 E Indiantown Rd
Jupiter, FL 33477-5111

Mailing address

3410 Commodore CT
West Palm Beach, FL 33411-6480
Phone (561) 598-4291

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
I20230522001000 FL Practitioner - Nurse Practitioner 5698131498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 E Indiantown Rd
Jupiter, FL 33477-5111
Phone (561) 741-5566

1002 S Old Dixie Hwy
Jupiter, FL 33458-7202

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016511FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Jul 10, 2023 Accepting new patients
Jupiter Medical Center Physicians Group CurrentSince Jul 10, 2023 Accepting new patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients
JFMR and Associates CurrentSince Feb 19, 2023 Accepting new patients

Locations

1000 E Indiantown Rd
Jupiter, FL 33477
Phone (561) 741-5566

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

3401 Pga Blvd
Ste 320
West Palm Bch, FL 33410
Phone (561) 626-3385

Interoperability endpoints

  • FHIR API: https://epicrp.jupitermed.com/oauth2-prd/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCGJBD
  • Direct secure messaging: marise.desir@587094116597764.direct.elationemr.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1801552393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 COMMODORE CT",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116480",
            "telephone_number": "561-598-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334775111",
            "telephone_number": "561-741-5566",
            "fax_number": "561-295-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIR",
        "first_name": "MARISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.