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MARSHALL POULIN APRN
NPI 1356206650
Nurse Practitioner - Family in St Augustine, FL

Active since December 18, 2025PECOS Enrolled
100 ARRICOLA AVE, ST AUGUSTINE, FL 32080(904) 825-4368 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2026, Dec 18, 2025 (2 updates tracked since 2025).

About Marshall Poulin Aprn NPPES

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

MARSHALL POULIN APRN (NPI 1356206650) is an individual family provider in St Augustine, Florida, licensed in Florida (APRN11047813) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1356206650
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARSHALL POULINCredential: APRN
Location Address100 ARRICOLA AVESt Augustine, FL 32080-4515
Mailing Address2460 Old Moultrie Rd Ste 1St Augustine, FL 32086-4198 · (904) 825-4368
Phone(904) 825-4368
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateDecember 18, 2025
Last NPPES UpdateJuly 27, 20262 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ NPI 1356206650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11047813
Also ListedFamily MedicineTaxonomy 207Q00000X · License RN.1641150 (CO)
100 ARRICOLA AVE, St Augustine, FL 32080
Open in Google Maps ↗

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 (PECOS)

Marshall Poulin Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547727760
PECOS Enrollment IDI20260807001526
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 Marshall Poulin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Island Doctors Intrastate LLC
Same address
Primary Care
100 ARRICOLA AVE
Saint Augustine, FL 32080
  • Reassigned Medicare billing, Florida enrollment
  • 73 clinicians in this Medicare group
NPI 1568083889 (904) 825-4368
Roy H Hinman MD PA
Same address
Family Medicine
100 ARRICOLA AVENUE
St Augustine, FL 32080
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
NPI 1649383845 (904) 825-4368

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32080 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 11

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

MAINLAND PHYSICIANS GROUP LLC
Family Medicine (Geriatric Medicine)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
WILLIAM D BERMEO PAC
Family Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
ODELAISYS ENRIQUEZ MD
Internal Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
V.I.P MD CARE LLC
Internal Medicine
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (954) 586-8058
MR. EUGENE KINNALY P.A.
Physician Assistant (Medical)
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080
St. Johns County (904) 825-4701
ISLAND DOCTORS INTRASTATE LLC
Clinic/Center (Primary Care)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
ECHO MANAGED CARE, LLC
Clinic/Center (Primary Care)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 825-4368
SARA MARIE OCAMPO DENSLOW APRN
Nurse Practitioner (Family)
100 ARRICOLA AVE
SAINT AUGUSTINE, FL 32080
St. Johns County (904) 825-4368

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 Marshall Poulin's NPI number?

The NPI number for Marshall Poulin is 1356206650. It was assigned to this individual provider in the NPPES registry on December 18, 2025.

Where is Marshall Poulin located?

Marshall Poulin practices at 100 Arricola Ave, St Augustine, FL 32080. The listed phone number is (904) 825-4368.

What is Marshall Poulin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marshall Poulin enrolled in Medicare?

Yes. Marshall Poulin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marshall Poulin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marshall Poulin reassigns Medicare benefits to 2 organizations: Island Doctors Intrastate LLC (Saint Augustine, FL) and Roy H Hinman MD PA (St Augustine, FL). 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 Marshall Poulin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marshall Poulin was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.