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MARISA A OLSEN APRN
NPI 1124499801
Nurse Practitioner in Jacksonville, FL

Active since October 07, 2015PECOS EnrolledAccepts Medicare Assignment
1660 PRUDENTIAL DR STE 201, JACKSONVILLE, FL 32207(904) 202-4222(904) 376-3368 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 5, 2026, Dec 15, 2025 (2 updates tracked since 2025).

About Marisa A Olsen Aprn NPPES

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

MARISA A OLSEN APRN (NPI 1124499801) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11024675) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124499801
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARISA A OLSENCredential: APRN
Location Address1660 PRUDENTIAL DR STE 201Jacksonville, FL 32207-8185
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 202-4222
Fax(904) 376-3368
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 7, 2015
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1124499801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11024675
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11024675 (FL), F338628 (NY)
1660 PRUDENTIAL DR STE 201, Jacksonville, FL 32207
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisa A Olsen Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961861604
PECOS Enrollment IDI20251204004441
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marisa Olsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baptist Primary Care Inc
Same address
Internal Medicine
1660 PRUDENTIAL DR STE 400
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 569 clinicians in this Medicare group
NPI 1386826683 (904) 396-0000
North Shore - Lij Medical PC
846 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BAPTIST PRIMARY CARE INC.
Nurse Practitioner
1660 PRUDENTIAL DR STE 201
JACKSONVILLE, FL 32207
Duval County (904) 202-4222
MS. MICHIKO MILLER FNP
Nurse Practitioner
1660 PRUDENTIAL DR STE 201
JACKSONVILLE, FL 32207
Duval County (904) 202-4222
MEAGAN VLASEK NP-C
Nurse Practitioner
1660 PRUDENTIAL DR STE 201
JACKSONVILLE, FL 32207
Duval County (904) 202-4222

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 Marisa Olsen's NPI number?

The NPI number for Marisa Olsen is 1124499801. It was assigned to this individual provider in the NPPES registry on October 7, 2015.

Where is Marisa Olsen located?

Marisa Olsen practices at 1660 Prudential Dr Ste 201, Jacksonville, FL 32207. The listed phone number is (904) 202-4222.

What is Marisa Olsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marisa Olsen enrolled in Medicare?

Yes. Marisa Olsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marisa Olsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Olsen reassigns Medicare benefits to 2 organizations: Baptist Primary Care Inc (Jacksonville, FL) and North Shore - Lij Medical PC (New Hyde Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisa Olsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marisa Olsen affiliated with any hospitals?

According to CMS data, Marisa Olsen is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Marisa Olsen was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.