MARIDEL NAZARENO TAN ARNP
NPI 1386010452
Nurse Practitioner in Jacksonville, FL
About Maridel Nazareno Tan Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIDEL NAZARENO TAN ARNP (NPI 1386010452) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (ARNP9197229) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Maridel Nazareno Tan Arnp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Maridel Tan's NPI number?
The NPI number for Maridel Tan is 1386010452. It was assigned to this individual provider in the NPPES registry on August 12, 2015.
Where is Maridel Tan located?
Maridel Tan practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Maridel Tan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Maridel Tan enrolled in Medicare?
Yes. Maridel Tan 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 Maridel Tan affiliated with any hospitals?
According to CMS data, Maridel Tan is affiliated with Mayo Clinic.
When was this NPI record last updated?
The NPPES record for Maridel Tan was last updated on July 29, 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.
# Maridel Nazareno Tan, ARNP · NPI 1386010452
Nurse Practitioner physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since August 12, 2015.
## Identity
- **NPI:** 1386010452 (Entity type: Individual)
- **Enumerated:** August 12, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** ARNP9197229 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386010452) · Data from the CMS NPPES public registry.