Marni L Nicholas (NPI# 1174517122, PAC ID# 9335119213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174517122 |
| PAC ID by PECOS | 9335119213 |
| Professional Enrollment ID | I20151202000492 |
| Full Name | Marni L Nicholas |
| Organization Legal Name | PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS LLC |
| Address |
1080 E Indiantown Rd Suite 206 Jupiter FL 33477-5188 |
| Phone Number | 5617415566 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4183934631 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100253 | JUPITER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1080 E Indiantown Rd, Suite 206, Jupiter, FL 33477-5188 | 5617415566 | PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 54% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 6% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 94% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 73% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 26% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 1% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 48% |
| Organization Legal Name | PRIMARY CARE SERVICES OF JUPITER MEDICAL SPECIALISTS LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie M Murphy | Family Medicine | Primary Care Services of Jupiter Medical Specialists LLC | 5430 Military Trl, Suite 62, Jupiter, FL 33458-2873 |
| Craig Philip Prokos | Internal Medicine | Primary Care Services of Jupiter Medical Specialists LLC | 136 Jupiter Lakes Blvd, Suite 2000, Jupiter, FL 33458-7180 |
| Peter Lyn | Hospitalist | Primary Care Services of Jupiter Medical Specialists LLC | 1004 S Old Dixie Hwy, Suite 201, Jupiter, FL 33458-7200 |
| Richard A Dube | General Practice | Primary Care Services of Jupiter Medical Specialists LLC | 2854 Se Federal Hwy, Stuart, FL 34994-5738 |
| Kymberlee A Coffindaffer | Nurse Practitioner | Primary Care Services of Jupiter Medical Specialists LLC | 3401 Pga Blvd, Suite 320, Palm Beach Gardens, FL 33410-2824 |
| Laurie P Rothman | Family Medicine | Primary Care Services of Jupiter Medical Specialists LLC | 3401 Pga Blvd, Suite 320, Palm Beach Gardens, FL 33410-2824 |
| Gary L Bradley | Family Medicine | Primary Care Services of Jupiter Medical Specialists LLC | 2854 Se Federal Hwy, Stuart, FL 34994-5738 |
| Howard B Schwartz | Family Medicine | Primary Care Services of Jupiter Medical Specialists LLC | 5430 Military Trl, Suite 62, Jupiter, FL 33458-2873 |
| Cydney Wilbanks | Physician Assistant | Primary Care Services of Jupiter Medical Specialists LLC | 5430 Military Trl, Suite 62, Jupiter, FL 33458-2873 |
| Cynthia S Prokos | Nurse Practitioner | Primary Care Services of Jupiter Medical Specialists LLC | 5430 Military Trl, Suite 62, Jupiter, FL 33458-2873 |
| Street Address |
1080 E INDIANTOWN RD SUITE 206 |
| City | JUPITER |
| State | FL |
| Zip | 33477-5188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne C Fuchs | Podiatry | Luxepodiatry Palm Beach Pllc | 1080 E Indiantown Rd, Suite 201, Jupiter, FL 33477-5188 |
| Vishnu Seecharan | Podiatry | Luxepodiatry Palm Beach Pllc | 1080 E Indiantown Rd, Suite 201, Jupiter, FL 33477-5188 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad D Simons | Ophthalmology | 2141 Alt A1a, Suite 210, Jupiter, FL 33477 | |
| William J Murphy | Chiropractic | 2151 Alt A1a S, Suite 600, Jupiter, FL 33477 | |
| Sarah J Nault | Physical Therapy | On Site Physical Therapy LLC | 200 Admirals Cove Blvd Club, Jupiter, FL 33477-4046 |
| Alexandra W Brown | Physical Therapy | On Site Physical Therapy LLC | 200 Admirals Cove Blvd, Jupiter, FL 33477-4046 |
| Catherine Drourr | Internal Medicine | Catherine Drourr, M.d., P.a. | 2151 S Alt, A1a Suite 950, Jupiter, FL 33477-4048 |
| Anne M Bryan | Physician Assistant | Catherine Drourr, M.d., P.a. | 2151 S Alt, A1a Suite 950, Jupiter, FL 33477-4048 |
| Louis J Raso | Interventional Pain Management | 2141 S Alternate, A1a Suite 110, Jupiter, FL 33477-4063 | |
| Robyn Wallace | Psychologist, Clinical | 2141 S Alternate, A1a Suite 300, Jupiter, FL 33477-4063 | |
| Kristen E Stilley | Physician Assistant | 21st Century Oncology, LLC | 2141 S Hwy A1a Alt, Suite 420, Jupiter, FL 33477-4063 |
| Andrew A Lerner | Podiatry | 2141 S Alternate, A1a Suite 120, Jupiter, FL 33477-4063 | |
| Find all physicians in zip 33477 | |||
| City | JUPITER |
| Zip Code | 33477 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JUPITER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Marni L Nicholas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.