Individual provider Active NPI

Marissa Prezzemolo, APRN, FNP-BC

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1902418171
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11008716 Issued in FL
Practice address
9750 NW 33Rd St Ste 116
Coral Springs, FL 33065-4000
Phone
(954) 341-5034
Fax
(954) 341-9190
NPI assigned
Aug 19, 2020
Last updated
Apr 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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 APRN11008716 FL Primary

Addresses

Primary practice location

9750 NW 33Rd St Ste 116
Coral Springs, FL 33065-4000

Mailing address

9750 NW 33Rd St Ste 116
Coral Springs, FL 33065-4000
Phone (954) 341-5034

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
I20200902001979 FL Practitioner - Nurse Practitioner 0648697821 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
Group practices
American Arthritis and Rheumatology Associates LLCGroup PAC ID 0840575007, 66 clinicians

Practice addresses (Care Compare)

9750 NW 33Rd St
Suite 116
Coral Springs, FL 33065-4000
Phone (954) 341-5034

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008716FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates LLC CurrentSince Aug 3, 2020 Accepting new patients

Locations

1831 N Belcher Rd
Ste D2
Clearwater, FL 33765
Phone (727) 734-6631

9750 NW 33rd St
Ste 116
Coral Springs, FL 33065
Phone (954) 341-5034

9750 NW 33rd St
Ste 204
Coral Springs, FL 33065
Phone (954) 341-5034

1855 Veterans Park Dr
Ste 103
Naples, FL 34109
Phone (239) 331-5114

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: marissa.prezzemolo.p52@direct.aara1.nextgenshare.com

Organizations & group practices 1

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 1

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": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1902418171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST STE 116",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654000",
            "telephone_number": "954-341-5034",
            "fax_number": "954-341-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 NW 33RD ST STE 116",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654000",
            "telephone_number": "954-341-5034",
            "fax_number": "954-341-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREZZEMOLO",
        "first_name": "MARISSA",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11008716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.