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MR. JIMMY MARSEILLE NP
NPI 1376416966
Nurse Practitioner - Psychiatric/Mental Health in Huntington Station, NY

Active since September 29, 2025PECOS Enrolled
21 12TH AVE, HUNTINGTON STATION, NY 11746(631) 988-0848 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jimmy Marseille Np NPPES

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

MR. JIMMY MARSEILLE NP (NPI 1376416966) is an individual psychiatric/mental health provider in Huntington Station, New York, licensed in New York (2025067416) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376416966
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JIMMY MARSEILLECredential: NP
Location Address21 12TH AVEHuntington Station, NY 11746-2104
Mailing Address21 12th AveHuntington Station, NY 11746-2104
Phone(631) 988-0848
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 29, 2025
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1376416966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 2025067416
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 779861 (NY)
21 12TH AVE, Huntington Station, NY 11746
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)

Mr. Jimmy Marseille Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850851247
PECOS Enrollment IDI20260904000666
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 Reassignment

Medicare enrollment records show Jimmy Marseille reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Welllife Network Inc.,
1.6 mi
Clinic/Center
55 HORIZON DR
Huntington, NY 11743
  • Reassigned Medicare billing, New York enrollment
  • 49 clinicians in this Medicare group
NPI 1932125721 (631) 920-8000

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 11746 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

MRS. DIDENA S MARSEILLE REGISTERED NURSE
Registered Nurse
21 12TH AVE
HUNTINGTN STA, NY 11746
Suffolk County (631) 547-1830

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 Jimmy Marseille's NPI number?

The NPI number for Jimmy Marseille is 1376416966. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Jimmy Marseille located?

Jimmy Marseille practices at 21 12th Ave, Huntington Station, NY 11746. The listed phone number is (631) 988-0848.

What is Jimmy Marseille's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jimmy Marseille enrolled in Medicare?

Yes. Jimmy Marseille is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jimmy Marseille's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jimmy Marseille reassigns Medicare benefits to Welllife Network Inc., (Huntington, NY). The 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 Jimmy Marseille'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 Jimmy Marseille was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.