Active NPI
Lauren Nicole Marshall, FNP
- Nurse Practitioner
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2019005033
- Practice address
- 4500 Memorial Dr
Belleville, IL 62226-5360 - Phone
- (618) 257-5455
- Fax
- (618) 257-4490
- NPI assigned
- Feb 23, 2019
- Last updated
- Dec 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2019005033 | MO | Primary |
| Family Nurse Practitioner | 363LF0000X | 2019005033 | MO | |
| Family Nurse Practitioner | 363LF0000X | 041427324 | IL |
Addresses
Primary practice location
4500 Memorial Dr
Belleville, IL 62226-5360
Mailing address
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-5455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420075085 | Medicaid | MO | |
| 401027711 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019005033 | MO | MD | Nurse Practitioner |
| 041427324 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Nurse Practitioner | Current | Accepting new patients |
| Cep America LLC | Current | Accepting new patients | |
| Southeastern Emergency Services of Memphis, P.C. | Nurse Practitioner | Current | Accepting new patients |
| Emergency Services Midwest SC | Nurse Practitioner | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Southeastern Emergency Physicians of Memphis LLC | Nurse Practitioner | Current | Accepting new patients |
| Galen Inpatient Physicians PC. | Current | Accepting new patients | |
| Cep America, LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Our Urgent Care, LLC | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1225 Graham Rd
Florissant, MO 63031
Phone (314) 653-5630
2893 Veterans Memorial Pkwy
Saint Charles, MO 63303
Phone (636) 724-1100
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
3195 Phoenix Center Dr
Washington, MO 63090
Phone (636) 231-5623
1111 W Pearce Blvd
Wentzville, MO 63385
Phone (636) 856-5362
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Fenton, MO
- NPI 1538714688
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1174024806
Nurse Practitioner
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO, Nurse Practitioner
-
- Urgent Care Clinic/Center
- Wentzville, MO
- NPI 1902815863
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
MO, Nurse Practitioner
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
MO, Nurse Practitioner
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1093360414
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Louisiana, MO
- NPI 1205837218
-
dba SSM Health St. Clare Hospital - Fenton
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1003373200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 MEMORIAL DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265360",
"telephone_number": "618-257-5455",
"fax_number": "618-257-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MEMORIAL DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265360",
"telephone_number": "618-257-5455",
"fax_number": "618-257-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "LAUREN",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-23",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2019005033",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2019005033",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "041427324",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420075085",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401027711",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.