MARY E ROMAIN NP
NPI 1598085169
Nurse Practitioner in Clermont, FL

Q: What is Mary Romain's NPI number?

The NPI number for Mary Romain is 1598085169. It was assigned to this individual provider in the NPPES registry on June 7, 2010.

Q: What is Mary Romain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Romain was last updated on September 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 07, 2010PECOS EnrolledAccepts Medicare Assignment

1900 DON WICKHAM DR, CLERMONT, FL 34711(352) 536-8761(352) 536-8768 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2020, Dec 10, 2015 (2 updates tracked since 2015).

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About Mary E Romain Np NPPES

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

MARY E ROMAIN NP (NPI 1598085169) is an individual nurse practitioner in Clermont, Florida, licensed in Florida (APRN9408169) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1598085169

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY E ROMAINCredential: NP

Location Address1900 DON WICKHAM DRClermont, FL 34711-1979

Mailing Address1900 Don Wickham DrClermont, FL 34711-1979 · (352) 536-8761 · Fax (352) 536-8768

Phone(352) 536-8761

Fax(352) 536-8768

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 7, 2010

Last NPPES UpdateSeptember 25, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2020

✔ NPI 1598085169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN9408169

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1900 DON WICKHAM DR, Clermont, FL 34711

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Other Identifiers 2

Medicaid200985420IN

Medicaid015909700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Mary E Romain Np 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 ID4183757214

PECOS Enrollment IDI20151110003003

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 5

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.

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.

241 services196 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.

55 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

46 services46 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

16 services12 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

15 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health

Acute Care Hospitals · Orlando, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100006

Location52 W Underwood StOrlando, FL 32806 · Orange County

Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number100030

Location10000 W Colonial DrOcoee, FL 34761 · Orange County

Emergency services

Orlando Health South Lake Hospital

Acute Care Hospitals · Clermont, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100051

Location1900 Don Wickham DrClermont, FL 34711 · Lake County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34711 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 20

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

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