Thamara Marcelin, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11003264 Issued in FL

Practice address

2201 Lucien Way Ste 100
Maitland, FL 32751-7003

Phone

(407) 875-0028

NPI assigned

Sep 4, 2019

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 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Pcma Palliative Division LLCGroup PAC ID 1456613637, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Pcma Palliative Division LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Pittsburgh, PA
  • NPI 1629585054

  FL

  Medicare reassignment Care Compare group NPD
• Florida Rehab Specialists, PLLC

  • Adult Medicine Physician
  • Williston, FL
  • NPI 1447941984
  Medicare reassignment NPD
• Rmed LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1508815358
  Medicare reassignment NPD
• Harmonycares Complete Health Services, PLLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1093543902

  FL

  Medicare reassignment NPD
• Rmed LLC

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1205476793
  NPD
• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577
  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1912556812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 LUCIEN WAY STE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517003",
            "telephone_number": "407-875-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 LUCIEN WAY STE 100",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517003",
            "telephone_number": "407-875-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELIN",
        "first_name": "THAMARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Manning
• Kelly Connaughton Mansour, D.M.D.
• Eliana Rina Marc, LCSW
• Daniela Guadalupe Marcano, RMHCI
• Prudent Marcelin, MD
• Daniel J Marcone, LMHC
• Joel Marin Garcia, CBHCMS
• Teagan Kylie Marquardt, CCC-SLP
• Saudhi M Marquez, RPT
• Justin Marsh, MD

• Family Nurse Practitioner in Maitland, FL
• Providers in Maitland, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.