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MARC EDDY THEODOR PMHNP
NPI 1750105995
Nurse Practitioner - Psychiatric/Mental Health in Port Charlotte, FL

Active since November 13, 2024PECOS EnrolledAccepts Medicare Assignment
3191 HARBOR BLVD STE A, PORT CHARLOTTE, FL 33952(941) 883-4518 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2026, Jun 17, 2025, Feb 13, 2025 and 1 more (4 updates tracked since 2024).

About Marc Eddy Theodor Pmhnp NPPES

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

MARC EDDY THEODOR PMHNP (NPI 1750105995) is an individual psychiatric/mental health provider in Port Charlotte, Florida, licensed in Florida (APRN11036065) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Naples, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750105995
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMARC EDDY THEODORCredential: PMHNP
Location Address3191 HARBOR BLVD STE APort Charlotte, FL 33952-6755
Mailing Address3191 Harbor Blvd Ste APort Charlotte, FL 33952-6755 · (941) 883-4518
Phone(941) 883-4518
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 13, 2024
Last NPPES UpdateJuly 1, 20264 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1750105995 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 FL · APRN11036065
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9555670 (FL)
3191 HARBOR BLVD STE A, Port Charlotte, FL 33952
Open in Google Maps ↗

Secondary Practice Location 1

Location 12338 Immokalee Rd # 559Naples, FL 34110-1445 · Phone (239) 610-0194

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc Eddy Theodor Pmhnp 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 ID840710125
PECOS Enrollment IDI20250218001880
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 Reassignments

2

Medicare enrollment records show Marc Theodor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dna Comprehensive Therapy Services, LLC
30 mi
Mental Health (Including Community Mental Health Center)
4310 METRO PKWY STE 205
Fort Myers, FL 33916
  • Reassigned Medicare billing, Florida enrollment
  • 618 clinicians in this Medicare group
NPI 1316363757 (239) 223-2751
National Psychiatry, LLC
58 mi
Psychiatry
6101 PINE RIDGE ROAD
Naples, FL 34119
  • Reassigned Medicare billing, Florida enrollment
  • 17 clinicians in this Medicare group
NPI 1225766793 (239) 330-2933

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 33952 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 17

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

KAYLA NICOLE POPE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (239) 690-6906
MRS. LISA MORAZES LCSW
Social Worker (Clinical)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 883-4518
ERIN HAYS MCKEOWN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (239) 690-6906
DENNIS LEONE M.D.
Psychiatry & Neurology (Psychiatry)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (393) 387-3232
ROXANA DUREN LHMC
Counselor (Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 883-4518
AMY I HALE LMHC
Counselor (Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (239) 223-2751
YARIMA REGLA PALMERO CASTELLANOS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (941) 883-4518
ELIZABETH HELEN BERRI PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3191 HARBOR BLVD STE A
PORT CHARLOTTE, FL 33952
Charlotte County (239) 690-6906

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 Marc Theodor's NPI number?

The NPI number for Marc Theodor is 1750105995. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Marc Theodor located?

Marc Theodor practices at 3191 Harbor Blvd Ste A, Port Charlotte, FL 33952. The listed phone number is (941) 883-4518.

What is Marc Theodor's specialty?

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

Is Marc Theodor enrolled in Medicare?

Yes. Marc Theodor 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.

Which organizations bill Medicare for Marc Theodor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Theodor reassigns Medicare benefits to 2 organizations: Dna Comprehensive Therapy Services, LLC (Fort Myers, FL) and National Psychiatry, LLC (Naples, FL). Each 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 Marc Theodor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Theodor accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Marc Theodor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marc Theodor was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.