MS. MARNIE VANSTRUM (MD) – Family Medicine Physician, NPI 1598942963

MS. MARNIE VANSTRUM (MD) is a healthcare provider. based in Destin, Florida. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. ME100572 (FL). The NPI Number for MS. MARNIE VANSTRUM (MD) is 1598942963

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARNIE VANSTRUM (MD)
NPI
1598942963
Phone
(850) 650-3148
Address
4418 COMMONS DR E
Enumeration Date
28 January 2008
Last Update Date
30 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8032762186
Graduation Year
2000 (26 years ago)
PAC ID
1850465311
Group Practice PAC ID
6204731300
Professional Enrollment ID
I20190104002088
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MS. MARNIE VANSTRUM (MD)

  • 4418 COMMONS DR E

    BAY C

    DESTIN, FL 325418405

    Phone: (850) 650-3148

    Fax: (850) 650-3895

    Type: Mailing

  • Wilson Road, Newberry, Newberry County, South Carolina, 29108, United States

    NEWBERRY, SC 291083050

    Phone: (803) 276-2186

    Type: Location

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: 2022-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20080731000407IFamily PracticeFLTBD
I20150122001637IFamily PracticeALTBD
I20190104002088IFamily PracticeSCTBD
I20220511002160IFamily PracticeGATBD

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 32541)

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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: 6204731300View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MS. MARNIE VANSTRUM (MD)?
The federal identifier for MS. MARNIE VANSTRUM (MD) is NPI 1598942963.
Does this profile mean MS. MARNIE VANSTRUM (MD) is currently active?
Yes — MS. MARNIE VANSTRUM (MD) appears active in the national provider directory.
What does MS. MARNIE VANSTRUM (MD) treat or focus on?
Patients typically see MS. MARNIE VANSTRUM (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. MARNIE VANSTRUM (MD)?
The page summarizes Destin, Florida for MS. MARNIE VANSTRUM (MD); expand the address list for detail.
How can I contact MS. MARNIE VANSTRUM (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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