MARILYNE R FAUSTIN (PMHNP-BC) – Psychiatry Physician, NPI 1225755762

MARILYNE R FAUSTIN (PMHNP-BC) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 11022707 (FL). The NPI Number for MARILYNE R FAUSTIN (PMHNP-BC) is 1225755762

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARILYNE R FAUSTIN (PMHNP-BC)
NPI
1225755762
Phone
(904) 296-3533
Address
1909 Beach Blvd Ste 201
Enumeration Date
25 October 2022
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042963533
Graduation Year
2018 (8 years ago)
PAC ID
9335505387
Group Practice PAC ID
0042395931
Professional Enrollment ID
I20230516003577
Address ID
FL322166115JA3947XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MARILYNE R FAUSTIN (PMHNP-BC)

  • 1909 Beach Blvd Ste 201

    Jacksonville, FL 322502643

    Phone: (904) 296-3533

    Type: Location

  • 3947 SALISBURY RD

    JACKSONVILLE, FL 322166115

    Phone: (904) 252-7341

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $3,011.

Total Amount is formed as General ($3,011) + Research ($0) + Ownership ($0) = $3,011.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($689).

Total Amount

$3,011

General + Research + Ownership

Payments

71

Total payment records

General Amount

$3,011

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230516003577INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32250)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042395931View full group profile

Reviews

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Frequently asked questions

Can I verify MARILYNE R FAUSTIN (PMHNP-BC) with an NPI only?
You can start verification with NPI 1225755762 for MARILYNE R FAUSTIN (PMHNP-BC), then check state licensing separately.
Is MARILYNE R FAUSTIN (PMHNP-BC) still practicing?
MARILYNE R FAUSTIN (PMHNP-BC) is currently listed as active in the public NPI registry.
What is MARILYNE R FAUSTIN (PMHNP-BC)'s primary classification?
Psychiatry Physician is the headline specialty for MARILYNE R FAUSTIN (PMHNP-BC) here. Clinical services aligned with this taxonomy classification.
What area does MARILYNE R FAUSTIN (PMHNP-BC) serve?
MARILYNE R FAUSTIN (PMHNP-BC)'s listing highlights Jacksonville, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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