MARLENE M SUMMERS CNM NPI 1659465755

NPI Information

  • NPI: 1659465755
  • Provider Name: MARLENE M SUMMERS, CNM
  • Classification: Nurse Practitioner - 363LX0001X
  • Specialization: Obstetrics & Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 449 SE BAYA DRIVE
    LAKE CITY, FL
    ZIP 32025
  • Phone: (386) 755-0500

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NPI Details

Marlene M Summers, CNM is an obstetrics and gynecology nurse practitioner in Lake City, FL with 29 years of experience. Marlene M Summers, CNM NPI is 1659465755. 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:

449 SE BAYA DRIVE
LAKE CITY, FL
ZIP 32025
Phone: (386) 755-0500
Fax: (386) 755-9217

The NPI 1659465755 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.

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.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 10/3/2006 and was last updated on 10/12/2016.

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
1363LX0001XNurse PractitionerObstetrics & Gynecology1370482FLORIDAYes

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
1240386OTHERFLORIDAAVMED
2S50467MEDICARE UPINFLORIDA
3E0280ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE PROVIDER NUMBER
4Y9008OTHERFLORIDABCBS PROVIDER NUMBER
5340059000MEDICAIDFLORIDA

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: 11/21/2025

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