Individual provider Active NPI

Marie A Adolphe, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1881993863
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9219232 Issued in FL
Practice address
1507 Bill Beck Blvd
Kissimmee, FL 34744
Phone
(407) 943-8600
Fax
(407) 932-5150
NPI assigned
Mar 16, 2011
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 9219232 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9219232 FL Primary

Addresses

Primary practice location

1507 Bill Beck Blvd
Kissimmee, FL 34744

Mailing address

1503 Bill Beck Blvd
Kissimmee, FL 34744-9516
Phone (407) 943-8600

Other practice location 1

1400 N Semoran Blvd Ste E
Orlando, FL 32807-3562
Phone (407) 823-8421

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9219232OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140919000069 FL Practitioner - Nurse Practitioner 9436378759 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9219232FLMDFamily Nurse Practitioner
APRN9219232FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Medical Services of Poinciana Inc CurrentSince May 22, 2025 Accepting new patients
Primary Care Medical Services of Poinciana Inc CurrentSince May 22, 2025 Accepting new patients
Aspire Health Partners, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Brave Health Inc. CurrentSince Jun 1, 2024 Accepting new patients
Compass Counseling Services, LLC CurrentSince Nov 1, 2021 Accepting new patients
Compass Counseling Services,LLC PastSince Aug 1, 2023 Accepting new patients
Mindful Integrated Medicine LLC PastSince Oct 5, 2015 Accepting new patients

Locations

109 N Doverplum Ave
Kissimmee, FL 34758

1503 Bill Beck Blvd
Kissimmee, FL 34744
Phone (407) 943-8618

1507 Bill Beck Blvd
Kissimmee, FL 34744
Phone (407) 943-8618

1703 Business Center Ln
Kissimmee, FL 34758
Phone (407) 944-7190

206 Park Place Blvd
Kissimmee, FL 34741
Phone (407) 846-0023

8600 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34747

1400 N Semoran Blvd
Orlando, FL 32807
Phone (407) 823-8421

1400 N Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 823-8421

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

Interoperability endpoints

  • Direct secure messaging: marie.adolphe.1@26532.direct.athenahealth.com

Organizations & group practices 7

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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1881993863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 BILL BECK BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347449516",
            "telephone_number": "407-943-8600",
            "fax_number": "407-932-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 BILL BECK BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34744",
            "telephone_number": "407-943-8600",
            "fax_number": "407-932-5150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Semoran Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328073562",
            "country_code": "US",
            "telephone_number": "407-823-8421",
            "fax_number": "407-823-8195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADOLPHE",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9219232",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9219232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ARNP9219232",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.