MARC EDDY THEODOR PMHNP
NPI 1750105995
Nurse Practitioner - Psychiatric/Mental Health in Port Charlotte, FL
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
Specialties & Licenses 2
Secondary Practice Location 1
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
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.
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.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
PORT CHARLOTTE, FL 33952
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.
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 36 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.
