Individual provider Active NPI

Lucas Marlatt, ARNP

  • Family Nurse Practitioner
  • Rockledge, FL
National Provider Identifier
1922484104
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9349022 Issued in FL
Practice address
110 Longwood Ave
Rockledge, FL 32955-2828
Phone
(321) 636-2211
NPI assigned
Aug 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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 ARNP9349022 FL Primary

Addresses

Primary practice location

110 Longwood Ave
Rockledge, FL 32955-2828

Mailing address

302 King Neptune LN
Cape Canaveral, FL 32920-5139
Phone (321) 544-1580

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
I20151028002610 FL Practitioner - Nurse Practitioner 9830408053 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantis Urgent Care LLCGroup PAC ID 6305895111, 9 clinicians
Community Health of Tallahassee LLCGroup PAC ID 1658539333, 9 clinicians

Practice addresses (Care Compare)

2254 Hwy A1A
Indian Harbour Beach, FL 32937-4922
Phone (321) 777-2273

325 5TH Ave
Suite 204
Indialantic, FL 32903-4270
Phone (321) 821-4889

Hospital & facility affiliations

  • Holmes Regional Medical Center Hospital, Melbourne, FL, CCN 100019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9349022FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Melbourne Emergency Group, LLC CurrentSince Jun 16, 2016 Accepting new patients
Rockledge Emergency Group LLC CurrentSince Jun 10, 2016 Accepting new patients
Atlantis Urgent Care, LLC CurrentSince Feb 16, 2016 Accepting new patients
Community Health of Tallahassee LLC CurrentSince Mar 17, 2025 Accepting new patients

Locations

325 5th Ave
Ste 204
Indialantic, FL 32903
Phone (321) 674-9838

2254 Highway A1A
Indian Harbour Beach, FL 32937
Phone (321) 777-2273

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

110 Longwood Ave
Rockledge, FL 32955
Phone (321) 452-9799

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1922484104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KING NEPTUNE LN",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329205139",
            "telephone_number": "321-544-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONGWOOD AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552828",
            "telephone_number": "321-636-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLATT",
        "first_name": "LUCAS",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-10",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9349022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.