DR. MARIE PRINSEN MD
NPI 1366554107
Family Medicine in Sebastian, FL
About Dr. Marie Prinsen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARIE PRINSEN MD (NPI 1366554107) is an individual family medicine provider in Sebastian, Florida, licensed in Florida (ME110076) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Marie Prinsen Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Marie Prinsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sebastian, FL 32958
- Reassigned Medicare billing, Florida enrollment
- 505 clinicians in this Medicare group
Port St Lucie, FL 34986
- Reassigned Medicare billing, Florida enrollment
- 187 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cleveland Clinic Indian River Hospital
Acute Care Hospitals · Vero Beach, FLSebastian River Medical Center
Acute Care Hospitals · Sebastian, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32958 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEBASTIAN, FL 32958
SEBASTIAN, FL 32958
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 Marie Prinsen's NPI number?
The NPI number for Marie Prinsen is 1366554107. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Marie Prinsen located?
Marie Prinsen practices at 801 Wellness Way Suite 109, Sebastian, FL 32958. The listed phone number is (772) 581-5581.
What is Marie Prinsen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Marie Prinsen enrolled in Medicare?
Yes. Marie Prinsen 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 Marie Prinsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marie Prinsen reassigns Medicare benefits to 2 organizations: Indian River Health Services Inc (Sebastian, FL) and Wellmed Medical Management Of Florida Inc (Port St Lucie, 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 Marie Prinsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Marie Prinsen affiliated with any hospitals?
According to CMS data, Marie Prinsen is affiliated with Cleveland Clinic Indian River Hospital and Sebastian River Medical Center.
When was this NPI record last updated?
The NPPES record for Marie Prinsen was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Marie Prinsen, MD · NPI 1366554107
Family Medicine physician in Sebastian, Florida. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1366554107 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** ME110076 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 WELLNESS WAY, SUITE 109, Sebastian, FL 32958-3783
- **Phone:** (772) 581-5581 · **Fax:** (772) 563-4723
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Indian River Health Services Inc (NPI 1396026670, Sebastian, FL); Wellmed Medical Management Of Florida Inc (NPI 1033395397, Port St Lucie, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** April 11, 2012
- **Other identifiers:** Other 14F04 (FL); Medicare PIN FF136Z (FL); Medicaid 003853000 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1366554107) · Data from the CMS NPPES public registry.