NPIMap

Individual provider Active NPI

Melissa Marballie, FNP

  • Family Nurse Practitioner
  • Weston, FL
National Provider Identifier
1881863363
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9346165 Issued in FL
Practice address
2300 N Commerce Pkwy Ste 103
Weston, FL 33326-3255
Phone
(954) 217-5700
Fax
(954) 217-5704
NPI assigned
Feb 28, 2008
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F335401-1 NY
Family Nurse Practitioner 363LF0000X 9346165 FL Primary

Addresses

Primary practice location

2300 N Commerce Pkwy Ste 103
Weston, FL 33326-3255

Mailing address

1700 NW 49TH St Ste 125
Ft Lauderdale, FL 33309-3750
Phone (954) 217-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150422001928 FL Practitioner - Nurse Practitioner 5395063309 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
North Broward Hospital DistrictGroup PAC ID 3577472422, 192 clinicians

Practice addresses (Care Compare)

1515 N University Dr
Suite 120
Coral Springs, FL 33071-6084

2300 N Commerce Pkwy
Suite 103
Weston, FL 33326-3255
Phone (954) 217-5700

BHPG Weston Physician Office
5 2300 N. Commerce Parkway Suite 108
Fort Lauderdale, FL 33326-3255
Phone (954) 217-2680

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9346165FLMDFamily Nurse Practitioner
F335401-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chiro Worx Injury Center Inc CurrentSince Apr 1, 2023 Accepting new patients
Wound Technology Network Inc CurrentSince Jun 20, 2022 Accepting new patients
North Broward Hospital District CurrentSince Oct 28, 2019 Accepting new patients
Urgent Medical Center Inc CurrentSince Apr 1, 2023 Accepting new patients
At Home Woundcare Inc CurrentSince May 6, 2017 Accepting new patients
North Broward Hospital District Current Accepting new patients
Patients First Lake Ella Medical Center P a CurrentSince Dec 15, 2022 Accepting new patients
Nurse Practitioner Group LLC CurrentSince Jan 15, 2023 Accepting new patients
Medex Corp Family CurrentSince Jul 3, 2024 Accepting new patients
North Broward Hospital District CurrentSince Oct 28, 2019 Accepting new patients

Locations

1515 N University Dr
Ste 120
Coral Springs, FL 33071
Phone (786) 539-0396

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1700 NW 49th St
Ste 125
Ft Lauderdale, FL 33309
Phone (954) 355-3490

200 NW 7th Ave
Ft Lauderdale, FL 33311
Phone (954) 355-5110

5979 Vineland Rd
Ste 109
Orlando, FL 32819
Phone (407) 270-7702

10472 Taft St
Pembroke Pines, FL 33026
Phone (954) 990-0461

151 N Nob Hill Rd
Plantation, FL 33324
Phone (561) 549-9090

6931 W Broward Blvd
Plantation, FL 33317
Phone (954) 321-5191

1811 N Pine Island Rd
Plantation, FL 33322
Phone (954) 320-3360

1690 N Monroe St
Tallahassee, FL 32303
Phone (850) 385-2222

2300 N Commerce Pkwy
Ste 103
Weston, FL 33326
Phone (954) 217-5700

590 Lanier Ave W
Fayetteville, GA 30214

Organizations & group practices 10

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 6

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": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1881863363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NW 49TH ST STE 125",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093750",
            "telephone_number": "954-217-5700",
            "fax_number": "954-217-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N COMMERCE PKWY STE 103",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263255",
            "telephone_number": "954-217-5700",
            "fax_number": "954-217-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBALLIE",
        "first_name": "MELISSA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335401-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9346165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.