Individual provider Active NPI

Marilyn Margarita Rodriguez Ballard, APRN

  • Family Nurse Practitioner
  • Fleming Island, FL
National Provider Identifier
1902970007
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2849702 Issued in FL
Practice address
1689 Eagle Harbor Pkwy Ste a
Fleming Island, FL 32003-4817
Phone
(904) 269-1366
Fax
(833) 578-1812
NPI assigned
Nov 20, 2006
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 APRN2849702 FL Primary

Addresses

Primary practice location

1689 Eagle Harbor Pkwy Ste a
Fleming Island, FL 32003-4817

Mailing address

330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331

Other practice location 1

2349 Village Square Pkwy Ste 110-111
Fleming Island, FL 32003-6355
Phone (904) 385-2023

Other practice location 2

1305 N Orange Ave Ste 120
Green Cove Springs, FL 32043-2553
Phone (904) 284-5904

Other identifiers 1

IdentifierTypeStateIssuer
009298200MedicaidFL

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
I20070911000985 FL Practitioner - Nurse Practitioner 8527151224 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

1689 Eagle Harbor Pkwy
Suite a
Fleming Island, FL 32003-4817
Phone (904) 269-1366

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2849702FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trenton Medical Center, Inc CurrentSince Aug 15, 2023 Accepting new patients
Trenton Medical Center, Inc. CurrentSince Aug 15, 2023 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2014 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2014 Accepting new patients
Physicians Group Services PA CurrentSince Aug 16, 2025 Accepting new patients
Rural Health Care Incorporated CurrentSince Jul 11, 2022 Accepting new patients
Trenton Medical Center Inc Current Accepting new patients
Physicians Group Services PA CurrentSince Aug 16, 2025 Accepting new patients
Physicians Group Services PA Family Current Accepting new patients
Rural Health Care Incorporated Current Accepting new patients
Rural Health Care, Inc. CurrentSince Jul 11, 2022 Accepting new patients
Physical Medicine Specialists, Inc. Past Accepting new patients

Locations

1830 N Main St
Bell, FL 32619
Phone (352) 463-1100

2349 Village Square Pkwy
Ste 110111
Fleming Island, FL 32003
Phone (904) 385-2023

1305 N Orange Ave
Ste 120
Green Cove Springs, FL 32043
Phone (904) 284-5904

23343 NW County Road 236
High Springs, FL 32643

12311 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 262-7211

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595

173 NW Albritton Ln
Lake City, FL 32055
Phone (386) 755-4020

1545 Branan Field Rd
Ste 1
Middleburg, FL 32068
Phone (904) 450-8575

1658 St Vincents Way
Ste 320
Middleburg, FL 32068
Phone (904) 276-5100

1689 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 269-1366

1302 River St
Palatka, FL 32177
Phone (386) 328-0108

911 S Main St
Trenton, FL 32693
Phone (352) 463-2374

Interoperability endpoints

  • Direct secure messaging: marilyn.rodriguez.ballard.1@25110.direct.athenahealth.com

Organizations & group practices 12

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1902970007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORPORATE WAY STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736214",
            "telephone_number": "904-282-6331",
            "fax_number": "904-866-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 EAGLE HARBOR PKWY STE A",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034817",
            "telephone_number": "904-269-1366",
            "fax_number": "833-578-1812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2349 Village Square Pkwy Ste 110-111",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320036355",
            "country_code": "US",
            "telephone_number": "904-385-2023",
            "fax_number": "904-385-2454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 N Orange Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Green Cove Springs",
            "state": "FL",
            "postal_code": "320432553",
            "country_code": "US",
            "telephone_number": "904-284-5904",
            "fax_number": "904-284-5905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ BALLARD",
        "first_name": "MARILYN",
        "middle_name": "MARGARITA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2849702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009298200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.