Victor Enrique Ovalle Marrero, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9122162 Issued in FL

Practice address

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Phone

(904) 953-2000

NPI assigned

Aug 1, 2022

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Male

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 KY, OH2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri State Urologic Services PSC IncGroup PAC ID 6204740889, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
• St Elizabeth Ft Thomas Hospital, Fort Thomas, KY, CCN 180001
• St Elizabeth Florence Hospital, Florence, KY, CCN 180045
• St Elizabeth Grant Hospital, Williamstown, KY, CCN 181311

Merit-based Incentive Payment System (MIPS)

Final score

93.83 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Cost

83.09

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: victorovalle@tsus.allscriptsdirect.net

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.

• Tri State Urologic Services PSC Inc

  dba The Urology Group

  • Urology Physician
  • Crestview Hills, KY
  • NPI 1275726580
  Medicare reassignment Care Compare group NPD
• Tri State Urologic Services PSC Inc

  dba The Urology Group

  • Urology Physician
  • Cincinnati, OH
  • NPI 1396938312
  Medicare reassignment
• Tri State Urologic Services PSC Inc

  dba The Urology Group

  • Urology Physician
  • Fairfield, OH
  • NPI 1073746459
  NPD
• Tri State Urologic Services PSC Inc

  dba The Urology Group

  • Urology Physician
  • Cincinnati, OH
  • NPI 1568404846
  NPD
• Tri State Urologic Services PSC Inc

  dba The Urology Group

  • Urology Physician
  • Cincinnati, OH
  • NPI 1912729005
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Elizabeth Medical Center, Inc

  dba St Elizabeth Grant

  • Critical Access Hospital
  • Williamstown, KY
  • NPI 1114974813
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  dba St Elizabeth Florence

  • General Acute Care Hospital
  • Florence, KY
  • NPI 1154365062
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Edgewood, KY
  • NPI 1467492421
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  dba St Elizabeth Ft. Thomas

  • General Acute Care Hospital
  • Fort Thomas, KY
  • NPI 1740221795
  Care Compare affiliation

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1922735992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860912",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860912",
            "telephone_number": "904-953-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865",
            "telephone_number": "904-953-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Joseph E Sanker Blvd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452121979",
            "country_code": "US",
            "telephone_number": "513-841-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVALLE MARRERO",
        "first_name": "VICTOR",
        "middle_name": "ENRIQUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-01",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9122162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Areeya Outen
• Outpatient Service Providers LLC (Touchton Surgery Center LLC)
• Outpatient Service Providers LLC
• Stefanie Ouwerkerk
• Joshua Ezekiel Ovadia, MD
• Marissa Overcash
• Cameron Jacob Overfield, MD
• Overflow Health Alliance Inc
• Claire Marie Overholt, MD
• Elizabeth Ann Overpeck, MA, LMHC

• Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.