Marina Androssova, M.D.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

ME160289 Issued in FL

Practice address

11380 SW Village Pkwy
Port St Lucie, FL 34987-2388

Phone

(772) 301-6565

Fax

(843) 777-5135

NPI assigned

Oct 1, 2008

Last updated

Jan 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Norwell Visiting Nurse Association Inc

  • Home Health Agency
  • Norwell, MA
  • NPI 1043398498
  Medicare reassignment NPD
• Norwell Visiting Nurse Association, Inc

  • Community Based Hospice Care Agency
  • Norwell, MA
  • NPI 1063681278
  NPD (past)
• Seasons Hospice & Palliative Care of Massachusetts, LLC

  dba AccentCare Hospice & Palliative Care of Massachusetts

  • Community Based Hospice Care Agency
  • Norwood, MA
  • NPI 1538369129
  NPD (past)

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1902057607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 SW VILLAGE PKWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872388",
            "telephone_number": "772-301-6565",
            "fax_number": "843-777-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 SW VILLAGE PKWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872388",
            "telephone_number": "772-301-6565",
            "fax_number": "843-777-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDROSSOVA",
        "first_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME160289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Tang Counseling Services, LLC
• Kristin S Andres
• Kathryn A Andrews, ARNP
• Lagrand Evan Andrews
• Lauren Andrews, RBT
• Anesthesia Dynamics LLC
• Anesthesia Physician Solutions of South Florida, LLC
• Anesthesia Physician Solutions of South Florida, LLC
• Angel Hands Diagnostics LLC
• Angel of Light Assisted Living Facility, LLC

• Hospice and Palliative Medicine (Internal Medicine) Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.