Individual provider Active NPI

Marjorie V Scarlett

  • Family Nurse Practitioner
  • Pembroke Pines, FL
National Provider Identifier
1811720634
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11032293 Issued in FL
Practice address
222 S Flamingo Rd
Pembroke Pines, FL 33027-1721
Phone
(954) 240-2385
NPI assigned
Aug 26, 2024
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 APRN11032293 FL Primary

Addresses

Primary practice location

222 S Flamingo Rd
Pembroke Pines, FL 33027-1721

Mailing address

12768 SW 21St St
Miramar, FL 33027-2602
Phone (954) 240-2385

Other practice location 1

1100 S 56th Ave
Hollywood, FL 33023-1923
Phone (954) 392-9025

Other identifiers 2

IdentifierTypeStateIssuer
T3717OtherFLMEDICARE PTAN
124939300MedicaidFL

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
I20241127002078 FL Practitioner - Nurse Practitioner 8325573389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleopatra Gordon Pusey, MD P.a.Group PAC ID 6002946605, 4 clinicians

Practice addresses (Care Compare)

222 S Flamingo Rd
Pembroke Pines, FL 33027-1721
Phone (954) 392-9026

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pembroke Pines Community Health Center Inc CurrentSince Sep 1, 2024 Accepting new patients
Cleopatra Gordon Pusey, MD P.a. CurrentSince Oct 30, 2024 Accepting new patients

Locations

1100 S 56th Ave
Hollywood, FL 33023
Phone (954) 357-2353

222 S Flamingo Rd
Pembroke Pines, FL 33027
Phone (954) 392-9026

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, 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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1811720634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12768 SW 21ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272602",
            "telephone_number": "954-240-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S FLAMINGO RD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271721",
            "telephone_number": "954-240-2385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S 56th Ave",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330231923",
            "country_code": "US",
            "telephone_number": "954-392-9025",
            "fax_number": "954-357-2353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCARLETT",
        "first_name": "MARJORIE",
        "middle_name": "V",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "T3717",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124939300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.