Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Roberts, APRN-NP

Individual provider Nurse Practitioner · NPI 1306201520

Marissa Roberts, APRN-NP is a Nurse Practitioner in Fort Myers, Florida. Qualified in 2015, 11 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Kentucky.

Years since qualifying
11
Licensed in
FL, KY
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

3900 Broadway Ste A-14
Fort Myers, FL 33901-8193
Phone: (941) 777-4542
Fax: (239) 579-6807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence ARNP9451478 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence ARNP9451478 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 3009938 (KY)

Record details

NPI number1306201520
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-NP
Sole proprietorNo
NPI enumeratedDecember 16, 2015
Last updated in NPPESJanuary 28, 2024
Certification dateJanuary 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fort Myers