MARISSA ROBERTS APRN-NP NPI 1306201520

NPI Information

  • NPI: 1306201520
  • Provider Name: MARISSA ROBERTS, APRN-NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3900 BROADWAY STE A-14
    FORT MYERS, FL
    ZIP 33901
  • Phone: (941) 777-4542

Map and Directions

Get Directions

NPI Details

Marissa Roberts, APRN-NP is a family nurse practitioner in Fort Myers, FL with 10 years of experience. Marissa Roberts, APRN-NP NPI is 1306201520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3900 BROADWAY STE A-14
FORT MYERS, FL
ZIP 33901-193
Phone: (941) 777-4542
Fax: (239) 579-6807

The NPI 1306201520 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient home visit, typically 45 minutes (HCPCS:99343)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Urinalysis, manual test (HCPCS:81002)
  • Red blood cell concentration measurement (HCPCS:85014)
  • Blood test, basic group of blood chemicals (calcium, ionized) (HCPCS:80047)

The enumeration date for this NPI number is 12/16/2015 and was last updated on 1/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerARNP9451478FLORIDANo
2363L00000XNurse Practitioner3009938KENTUCKYNo
3363LF0000XNurse PractitionerFamilyARNP9451478FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1019898000MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.