MARCUS EMERSON – Family Nurse Practitioner, NPI 1295621753

MARCUS EMERSON is a healthcare provider. based in Riverview, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11040187 (FL). The NPI Number for MARCUS EMERSON is 1295621753

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
MARCUS EMERSON
NPI
1295621753
Phone
Not provided
Address
11630 BALINTORE DR
Enumeration Date
13 June 2025
Last Update Date
13 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7272018585
Graduation Year
2025 (1 year ago)
PAC ID
2466953138
Group Practice PAC ID
5496058422
Professional Enrollment ID
I20250903001295
Address ID
FL337814607PI7101XNXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MARCUS EMERSON

  • 11630 BALINTORE DR

    RIVERVIEW, FL 335793908

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-09-03

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
I20250903001295INurse 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 33579)

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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: 5496058422View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm MARCUS EMERSON's NPI?
Yes. MARCUS EMERSON is listed with NPI 1295621753 in the public NPI dataset.
Can I rely on MARCUS EMERSON being an active provider?
As of the registry snapshot, MARCUS EMERSON is marked active.
What is MARCUS EMERSON's specialty?
The listing groups MARCUS EMERSON with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MARCUS EMERSON on a map?
Expect Riverview, Florida as a primary anchor for MARCUS EMERSON unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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