DR. MARIE PRINSEN MD
NPI 1366554107
Family Medicine in Sebastian, FL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
84.85/100
CMS Quality Rating
801 WELLNESS WAY, SUITE 109, SEBASTIAN, FL 32958(772) 581-5581(772) 563-4723 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1366554107
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIE PRINSENCredential: MD
Location Address801 WELLNESS WAY, SUITE 109Sebastian, FL 32958-3783
Mailing Address1000 36th StVero Beach, FL 32960-4862 · (772) 567-4311 · Fax (772) 563-4723
Fax(772) 563-4723
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 31, 2006
Last NPPES UpdateApril 11, 2012
NPI 1366554107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME110076
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

801 WELLNESS WAY, Sebastian, FL 32958

Other Identifiers 3

Other14F04FL · Bcbs Of Fl
Medicare PINFF136ZFL
Medicaid003853000FL

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2062480254
PECOS Enrollment IDI20110805000284
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.

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
327 services174 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
290 services174 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
136 services96 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
41 services38 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
37 services37 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
31 services22 patients

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, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Sebastian River Medical Center

Acute Care Hospitals · Sebastian, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100217
Location13695 Us Hwy 1Sebastian, FL 32958 · Indian River County
Emergency services

Physician 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.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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.

84.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.69
Promoting Interoperability95.03
Improvement Activities40

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$83.83 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
801 WELLNESS WAY, SUITE 109
SEBASTIAN, FL 32958
Internal Medicine (Cardiovascular Disease)
801 WELLNESS WAY, SUITE 201
SEBASTIAN, FL 32958
Family Medicine
801 WELLNESS WAY, SUITE 204
SEBASTIAN, FL 32958
Family Medicine
801 WELLNESS WAY, SUITE 200
SEBASTIAN, FL 32958
Physical Therapist
801 WELLNESS WAY, STE 100
SEBASTIAN, FL 32958
Surgery
801 WELLNESS WAY, SUITE 109
SEBASTIAN, FL 32958
Family Medicine (Sports Medicine)
801 WELLNESS WAY, SUITE 100
SEBASTIAN, FL 32958
Orthopaedic Surgery
801 WELLNESS WAY, SUITE 100
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.

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 with the weekly NPPES data releases published by CMS.