Individual provider Active NPI

Marie Del Rio, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1912769183
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11030235 Issued in FL
Practice address
2637 W State Road 426 Ste 1021
Oviedo, FL 32765-8325
Phone
(321) 340-3490
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11030235 FL Primary

Addresses

Primary practice location

2637 W State Road 426 Ste 1021
Oviedo, FL 32765-8325

Mailing address

2637 W State Road 426 Ste 1021
Oviedo, FL 32765-8325

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
I20260622001191 FL Practitioner - Nurse Practitioner 9234602301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Behavioral Health LLCGroup PAC ID 1355818030, 7 clinicians

Practice addresses (Care Compare)

13571 Narcoossee Rd
Orlando, FL 32832-7136
Phone (407) 340-3490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11030235FLMDPsychiatric/Mental Health Nurse Practitioner

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1912769183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 W STATE ROAD 426 STE 1021",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 W STATE ROAD 426 STE 1021",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658325",
            "telephone_number": "321-340-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL RIO",
        "first_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11030235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.