Marcquan Adderly

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11041746 Issued in FL

Practice address

8320 W Sunrise Blvd Ste 208
Plantation, FL 33322-5432

Phone

(800) 640-3451

Fax

(385) 273-5971

NPI assigned

Aug 19, 2025

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diabetes Management Partners LLCGroup PAC ID 9436435385, 66 clinicians

WT Health of Florida LLCGroup PAC ID 5294268124, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diabetes Management Partners LLC

  dba GlyCare

  • Endocrinology, Diabetes & Metabolism Physician
  • Bethpage, NY
  • NPI 1013461193

  FL

  Medicare reassignment Care Compare group NPD
• WT Health of Florida LLC

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1982434106
  Medicare reassignment Care Compare group
• Cardiac and Vascular Consultants MD PA

  • Medical Specialty Clinic/Center
  • The Villages, FL
  • NPI 1093006108
  Medicare reassignment NPD
• Wound Technology Network Inc

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1962601393
  Medicare reassignment
• Diabetes Management Partners LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bel Air, MD
  • NPI 1245101617
  NPD
• Spencer J Hardenbrook MD PC

  • Family Medicine Physician
  • Draper, UT
  • NPI 1073909594
  NPD
• Lake Cardiovascular Diagnostic Center L.L.C

  • Cardiovascular Disease Physician
  • Lady Lake, FL
  • NPI 1801135173
  NPD (past)
• Optimum CV PLLC

  • Cardiovascular Disease Physician
  • Orlando, FL
  • NPI 1720863392
  NPD (past)

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

• Mount Sinai Medical Center of Florida, Inc

  • General Acute Care Hospital
  • Miami Beach, FL
  • NPI 1912964768
  Care Compare affiliation

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1922985308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1200",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840621200",
            "telephone_number": "800-640-3451",
            "fax_number": "385-287-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 W SUNRISE BLVD STE 208",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225432",
            "telephone_number": "800-640-3451",
            "fax_number": "385-273-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDERLY",
        "first_name": "MARCQUAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-19",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11041746",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11041746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Active Life Anti-Aging and Regenerative Medicine PA
• Acumantras
• Carlos Alberto Adams, MD
• Jennifer Adams, D.C
• Shalom Adams, MD
• Sharon N. Addy, MD
• Abimbola Adegborioye, FNP-C
• Adept Behavioral Management
• Rilwan Adigun, LCSW
• Simon Joseph Adir, DDS

• Nurse Practitioner in Plantation, FL
• Providers in Plantation, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.