Individual provider Active NPI

Kris Joann Marquis, MSN FNP-BC ARNP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1952569832
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2258-033 Issued in WI
Practice address
7786 Ridgelake Cir
Bradenton, FL 34203-2509
Phone
(941) 828-5199
Fax
(941) 761-6188
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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 2258-033 WI Primary

Addresses

Primary practice location

7786 Ridgelake Cir
Bradenton, FL 34203-2509

Mailing address

7786 Ridgelake Cir
Bradenton, FL 34203-2509
Phone (608) 206-5479

Other practice location 1

1219 S East Ave
Suite 301
Sarasota, FL 34239-2340
Phone (855) 433-2010

Other names 1

  • Kris Joann Seno Former name

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
I20140915000362 FL Practitioner - Nurse Practitioner 1658443643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7786 Ridgelake Cir
Bradenton, FL 34203-2509
Phone (941) 828-5199

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2258-033WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honor Mobile Healthcare PLLC Family CurrentSince Jun 1, 2020 Accepting new patients
Take Care Health Wisconsin, S.C Family Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kris.minko.1@21836.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21836/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 4

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": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1952569832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7786 RIDGELAKE CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342032509",
            "telephone_number": "608-206-5479",
            "fax_number": "941-761-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7786 RIDGELAKE CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342032509",
            "telephone_number": "941-828-5199",
            "fax_number": "941-761-6188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 S East Ave",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392340",
            "country_code": "US",
            "telephone_number": "855-433-2010",
            "fax_number": "855-433-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUIS",
        "first_name": "KRIS",
        "middle_name": "JOANN",
        "credential": "MSN FNP-BC ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "2258-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "SENO",
            "middle_name": "JOANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.