EDDY MARCIAL DNP,APRN,NP,PMHNP-BC
NPI 1841694221
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Q: What is Eddy Marcial's NPI number?

The NPI number for Eddy Marcial is 1841694221. It was assigned to this individual provider in the NPPES registry on October 14, 2014.

Q: What is Eddy Marcial's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eddy Marcial was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 14, 2014PECOS EnrolledAccepts Medicare Assignment

13205 SW 137 AVE SUITE 232-233, MIAMI, FL 33186(786) 290-9192(786) 364-1894 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 11, 2025, Dec 15, 2020, Jun 22, 2016 (3 updates tracked since 2016).

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About Eddy Marcial Dnp,aprn,np,pmhnp-bc NPPES

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

EDDY MARCIAL DNP,APRN,NP,PMHNP-BC (NPI 1841694221) is an individual psychiatric/mental health provider in Miami, Florida, licensed in Florida (APRN9231287) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1841694221

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameEDDY MARCIALCredential: DNP,APRN,NP,PMHNP-BC

Location Address13205 SW 137 AVE SUITE 232-233Miami, FL 33186

Mailing Address13205 Sw 137th Ave Ste 224-225Miami, FL 33186-5331 · (786) 290-9192 · Fax (800) 603-8893

Phone(786) 290-9192

Fax(786) 364-1894

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 14, 2014

Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration

NPPES CertifiedNovember 11, 2025

✔ NPI 1841694221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in FL · APRN9231287✔ Licensed in FL · ARNP-9231287

13205 SW 137 AVE SUITE 232-233, Miami, FL 33186

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. 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

Eddy Marcial Dnp,aprn,np,pmhnp-bc 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 ID6103928767

PECOS Enrollment IDI20150319001566

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 Reassignment

Medicare enrollment records show Eddy Marcial reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care And Educational Center Of Miami

Same address

Primary Care

13205 SW 137TH AVE STE 232-233
Miami, FL 33186

Reassigned Medicare billing, Florida enrollment
9 clinicians in this Medicare group

NPI 1174995609 (786) 290-9192

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 33186 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers11 claims22 services$6.56 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Eddy Marcial's NPI number?

The NPI number for Eddy Marcial is 1841694221. It was assigned to this individual provider in the NPPES registry on October 14, 2014.

Where is Eddy Marcial located?

Eddy Marcial practices at 13205 SW 137 Ave Suite 232-233, Miami, FL 33186. The listed phone number is (786) 290-9192.

What is Eddy Marcial's specialty?

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

Is Eddy Marcial enrolled in Medicare?

Yes. Eddy Marcial 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 organization bills Medicare for Eddy Marcial's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eddy Marcial reassigns Medicare benefits to Primary Care And Educational Center Of Miami (Miami, FL). The 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 Eddy Marcial's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eddy Marcial accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Eddy Marcial 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 Eddy Marcial was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.