DR. MARANDA NICOLE MASSEY (APRN,FNP-BC,PMHNP-BC) – Family Nurse Practitioner, NPI 1346426764
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for DR. MARANDA NICOLE MASSEY (APRN,FNP-BC,PMHNP-BC)
2389 COUNTRY SIDE DR
FLEMING ISLAND, FL 320034907
Phone: (850) 603-0771
Fax: (820) 228-0720
Type: Mailing
6488 103RD ST STE A
JACKSONVILLE, FL 322107161
Phone: (904) 450-6815
Type: Location
4651 Salisbury Rd Ste 400
Jacksonville, FL 322566187
Phone: (833) 384-1044
Type: Location
2389 Country Side Dr
Fleming Island, FL 320034907
Phone: (850) 603-0771
Fax: (820) 228-0720
Type: Location
221, Hospital Drive Northeast, Fort Walton Beach, Okaloosa County, Florida, 32548, United States
FORT WALTON BEACH, FL 325485066
Phone: (850) 833-9240
Type: Mailing
Davidson Middle School, 6261, Old Bethel Road, Crestview, Okaloosa County, Florida, 32536, United States
CRESTVIEW, FL 325365507
Phone: (850) 683-7500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($60).
Total Amount
$80
General + Research + Ownership
Payments
4
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-06-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240611002266 | I | Nurse Practitioner | FL | TBD |
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.
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 32003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| Family Practice | FL | |
| Nurse Practitioner | GA | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL |
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