MARVA GRACE CARPENTER APRN NPI 1790393205

NPI Information

  • NPI: 1790393205
  • Provider Name: MARVA GRACE CARPENTER, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3387 S JOG RD STE 103
    GREENACRES, FL
    ZIP 33467
  • Phone: (561) 781-8090

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NPI Details

Marva Grace Carpenter, APRN is a family nurse practitioner in Greenacres, FL with 6 years of experience. Marva Grace Carpenter, APRN NPI is 1790393205. 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:

3387 S JOG RD STE 103
GREENACRES, FL
ZIP 33467-010
Phone: (561) 781-8090
Fax: (561) 781-8099

The NPI 1790393205 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.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)

The enumeration date for this NPI number is 7/21/2020 and was last updated on 6/25/2025.

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
1163W00000XRegistered NurseAPRN11008625FLORIDANo
2261QP2300XClinic/CenterPrimary CareNo
3363LF0000XNurse PractitionerFamilyAPRN11008625FLORIDAYes

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
1110079200MEDICAIDFLORIDA

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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