Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARICEL BORBON NEIDERMAN APRN
NPI 1669173886
Nurse Practitioner in Tampa, FL

Q: What is Maricel Neiderman's NPI number?

The NPI number for Maricel Neiderman is 1669173886. It was assigned to this individual provider in the NPPES registry on March 14, 2023.

Q: What is Maricel Neiderman'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 Maricel Neiderman was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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 March 14, 2023PECOS Enrolled

12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-7365(813) 449-8618 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Mar 27, 2025, May 15, 2024 and 2 more (5 updates tracked since 2023).

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About Maricel Borbon Neiderman Aprn NPPES

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

MARICEL BORBON NEIDERMAN APRN (NPI 1669173886) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN11025218) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bradenton, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669173886

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARICEL BORBON NEIDERMANCredential: APRN

Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416

Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-7365 · Fax (813) 449-8618

Phone(813) 745-7365

Fax(813) 449-8618

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 14, 2023

Last NPPES UpdateJuly 2, 20265 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1669173886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11025218

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.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN11025218 (FL)

12902 USF MAGNOLIA DR, Tampa, FL 33612

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Secondary Practice Location 1

Location 15985 Silver Falls Run Ste 200Bradenton, FL 34211-1291 · Phone (941) 907-4734 · Fax (866) 808-3911

Other Identifiers 1

Medicaid122226100FL

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 (PECOS)

Maricel Borbon Neiderman Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254772858

PECOS Enrollment IDI20240514002636

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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.

DR. MICHAEL MARTIN WACH MD

Surgery