Individual provider Active NPI

Marie Watson, FNP-C

  • Family Nurse Practitioner
  • Punta Gorda, FL
National Provider Identifier
1952932832
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11005726 Issued in FL
Practice address
2310 Tamiami TRL Unit 2101
Punta Gorda, FL 33950-5934
Phone
(941) 621-3800
Fax
(941) 621-3888
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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 APRN11005726 FL Primary

Addresses

Primary practice location

2310 Tamiami TRL Unit 2101
Punta Gorda, FL 33950-5934

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other practice location 1

3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone (813) 925-1903

Other identifiers 3

IdentifierTypeStateIssuer
0HN3HOtherFLBCBS
MB390OtherFLMEDICARE
105594200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marie.watson@mpgus.com

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
I20200320001726 FL Practitioner - Nurse Practitioner 8325476542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Synergic Healthcare Solutions LLCGroup PAC ID 7618235573, 94 clinicians

Practice addresses (Care Compare)

25098 Olympia Ave
Unit 400
Punta Gorda, FL 33950-3938
Phone (941) 621-6771

3301 W Gandy Blvd
TGH Urgent Care Powered by Fast Tra
Tampa, FL 33611-2931
Phone (813) 925-1903

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Mar 16, 2020 Accepting new patients
Millennium Physician Group LLC CurrentSince Mar 16, 2020 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Sep 16, 2025 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Sep 16, 2025 Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

25098 Olympia Ave
Unit 400
Punta Gorda, FL 33950
Phone (941) 621-6771

2310 Tamiami Trl
Unit 2101
Punta Gorda, FL 33950
Phone (941) 621-3800

2227 US Highway 27 S
Ste 103
Sebring, FL 33870

2227 US Highway 27 S
Sebring, FL 33870
Phone (844) 428-3644

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Organizations & group practices 5

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1952932832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 TAMIAMI TRL UNIT 2101",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505934",
            "telephone_number": "941-621-3800",
            "fax_number": "941-621-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 W Gandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336112931",
            "country_code": "US",
            "telephone_number": "813-925-1903",
            "fax_number": "813-749-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0HN3H",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MB390",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105594200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marie.watson@mpgus.com",
            "affiliation": "N",
            "address_1": "25098 Olympia Ave Unit 400",
            "city": "Punta Gorda",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339503938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.