Individual provider Active NPI

Marianne Rita Falasco, ARNP-BC,

  • Nurse Practitioner
  • Orange City, FL
National Provider Identifier
1881730505
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN2909852 Issued in FL
Practice address
211 S Volusia Ave
Orange City, FL 32763-5839
Phone
(386) 775-7500
Fax
(386) 775-1904
NPI assigned
Jan 29, 2007
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN2909852 FL Primary

Addresses

Primary practice location

211 S Volusia Ave
Orange City, FL 32763-5839

Mailing address

261 W Gardenia Dr
Orange City, FL 32763-7338
Phone (386) 801-1253

Other identifiers 1

IdentifierTypeStateIssuer
260130300MedicaidFL

Other names 1

  • Prof. Marianne Rita Falasco Other 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
I20040909000985 FL Practitioner - Nurse Practitioner 5193791861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2909852FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Healthcaring Clinic of Florida, LLC Family Past Accepting new patients
Central Florida Medical Associates, Inc PastSince Jun 25, 2009 Accepting new patients
East Coast Hospital Inpatient Specialists PLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1881730505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W GARDENIA DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637338",
            "telephone_number": "386-801-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327635839",
            "telephone_number": "386-775-7500",
            "fax_number": "386-775-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALASCO",
        "first_name": "MARIANNE",
        "middle_name": "RITA",
        "name_prefix": "Ms.",
        "credential": "ARNP-BC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN2909852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260130300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "FALASCO",
            "middle_name": "RITA",
            "prefix": "PROF.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.