MARIE ILSE (FNP) – Family Nurse Practitioner, NPI 1871921676
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 MARIE ILSE (FNP)
3530 PARK ST
JACKSONVILLE, FL 322057727
Phone:
Type: Mailing
4475 SAN JUAN AVE
JACKSONVILLE, FL 322103357
Phone: (866) 389-2727
Type: Location
90500 EUCLID AVENUE
CLEVELAND, OH 441952055
Phone: (216) 444-2200
Type: Location
22500 SHELBURNE RD
SHAKER HEIGHTS, OH 441222055
Phone: (267) 549-4985
Type: Mailing
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: 2022-09-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20171101000798 | I | Nurse Practitioner | FL | TBD |
| I20220914003819 | I | Nurse Practitioner | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 49 | $0 |
| 99421 | Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes | 27 | 27 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 32205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nephrology, Internal Medicine | OH | |
| - | OH | |
| - | MI | |
| Nurse Practitioner | OH | |
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | MN | |
| Nurse Practitioner | OH |
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