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PATRICIA MARVIN PA-CMPH
NPI 1093897878
Physician Assistant - Medical in Crescent City, FL

Active since October 20, 2006PECOS Enrolled
899 N SUMMIT ST, CRESCENT CITY, FL 32112(386) 698-1088 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patricia Marvin Pa-cmph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA MARVIN PA-CMPH (NPI 1093897878) is an individual medical provider in Crescent City, Florida, licensed in Florida (PA9102582) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093897878
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePATRICIA MARVINCredential: PA-CMPH
Location Address899 N SUMMIT STCrescent City, FL 32112-2109
Mailing Address899 N Summit StCrescent City, FL 32112-2109 · (386) 698-1088
Phone(386) 698-1088
Sole ProprietorYes
Enumeration DateOctober 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093897878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9102582
899 N SUMMIT ST, Crescent City, FL 32112
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Marvin Pa-cmph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY RURAL HEALTH INC
Internal Medicine
899 N SUMMIT ST
CRESCENT CITY, FL 32112
Putnam County (386) 698-1088
MOLLY JOAN HERNANDEZ FNP
Nurse Practitioner (Family)
899 N SUMMIT ST
CRESCENT CITY, FL 32112
Putnam County (386) 698-1088
DR. MOUSTAFA M ELDICK M.D.
Internal Medicine
899 N SUMMIT ST
CRESCENT CITY, FL 32112
Putnam County (386) 698-1088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Marvin's NPI number?

The NPI number for Patricia Marvin is 1093897878. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Patricia Marvin located?

Patricia Marvin practices at 899 N Summit St, Crescent City, FL 32112. The listed phone number is (386) 698-1088.

What is Patricia Marvin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Patricia Marvin enrolled in Medicare?

Yes. Patricia Marvin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patricia Marvin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.