NPPES file of Aug 9, 2026

Marc Eddy Theodor, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Port Charlotte, FL

Marc Eddy Theodor, PMHNP is a psychiatric/mental health nurse practitioner with a practice address in Port Charlotte, Florida, and NPI 1750105995, issued on Nov 13, 2024. Check the license (Florida APRN11036065, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1750105995
Name
Marc Eddy Theodor
Credential
PMHNP
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License numbers
APRN11036065 FL
RN9555670 FL
Self-reported in NPPES; status is on the state search
Practice location
3191 Harbor Blvd Ste A, Port Charlotte, FL 33952
Phone
(941) 883-4518
Enumerated
Nov 13, 2024
Record last updated
Jul 1, 2026
Medicare enrollment
Enrolled (PECOS I20250218001880); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3191 Harbor Blvd Ste A

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Bernardo Arias, MDPsychiatry Physician1912992132
  2. Elizabeth Berri, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1407657091
  3. Elizabeth Blake, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1619832508
  4. Michael Collins, APRN, PMHNPPsychiatric/Mental Health Nurse Practitioner1578395489
  5. Laura Devore, PMHNPPsychiatric/Mental Health Nurse Practitioner1760227185
  6. Roxana Duren, LHMCMental Health Counselor1336538024

Verify Marc Eddy Theodor in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license APRN11036065
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. National Psychiatry, LLCNaples, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Marc Eddy Theodor among 4,715 psychiatric/mental health nurse practitioner records in Florida

Marc Eddy Theodor, PMHNP is one of 4,715 psychiatric/mental health nurse practitioner records with a practice address in Florida. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 67% of them.

  • NPI issued2024 · 67% of these records are older, 22% newer
  • In a Medicare fileYes · 67% of these records are
  • In the CMS Doctors and Clinicians fileYes · 56% of these records are
  • Graduated2024 · median 2021 among the 2,622 with a school on file
  • Record last updated2026 · 15% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

19 psychiatric/mental health nurse practitioner records list a practice address in Port Charlotte

They are 19 of the 1,685 NPPES records with a practice address in Port Charlotte, and 4,715 psychiatric/mental health nurse practitioner records in Florida.

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Michael Collins, APRN, PMHNPPort Charlotte, FL 339521578395489
  2. Laura Devore, PMHNPPort Charlotte, FL 339521760227185
  3. Amanda Dittmer, APRNPort Charlotte, FL 339521134572274
  4. Danielle Ingram, PMHNP-BCPort Charlotte, FL 339521588470686
  5. Mason Maulsby, ARNPPort Charlotte, FL 339521083940472
  6. Erin McKeown, PMHNP-BCPort Charlotte, FL 339521184440265
  7. Kristen MelerveyPort Charlotte, FL 339521871214452
  8. Cohleen Nottingham, ARNPPort Charlotte, FL 339521619293180

Common questions

What is Marc Eddy Theodor, PMHNP's NPI number?

Marc Eddy Theodor, PMHNP's National Provider Identifier (NPI) is 1750105995, issued on Nov 13, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Marc Eddy Theodor, PMHNP located?

The NPPES record lists a practice address at 3191 Harbor Blvd Ste A, Port Charlotte, FL, 33952. Phone: (941) 883-4518. Providers update this record themselves, so call before visiting.

How can I verify Marc Eddy Theodor, PMHNP's license?

NPPES lists Florida license number APRN11036065, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.