Individual provider Active NPI

Benjamin Owen Marshall, MSN, FNP-BC, CPHQ

  • Family Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1003512856
Registry record updated Aug 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704371368 Issued in MI
Practice address
3500 Coolidge Rd
East Lansing, MI 48823-6376
Phone
(517) 940-7615
NPI assigned
Feb 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704371368 MI Primary
Registered Nurse 163W00000X 4704371368 MI

Addresses

Primary practice location

3500 Coolidge Rd
East Lansing, MI 48823-6376

Mailing address

10500 B Dr N
Ceresco, MI 49033-9633
Phone (517) 897-3705

Other identifiers 1

IdentifierTypeStateIssuer
4704371368OtherMIREGISTERED NURSE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203004542 MI Practitioner - Nurse Practitioner 7214463025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsdale Pulmonary Critical Care and Sleep Medicine PCGroup PAC ID 1153402938, 10 clinicians

Practice addresses (Care Compare)

605 W Chicago Rd
Suite 2
Coldwater, MI 49036-8400
Phone (517) 924-1444

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Sep 27, 2024 Accepting new patients
Hillsdale Pulmonary Critical Care and Sleep Medicine PC CurrentSince Feb 1, 2025 Accepting new patients
Advanced Veins and Vascular Management PLC PastSince Feb 1, 2025 Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

605 W Chicago Rd
#2
Coldwater, MI 49036
Phone (517) 437-3879

605 W Chicago Rd
Coldwater, MI 49036
Phone (517) 425-9147

3500 Coolidge Rd
East Lansing, MI 48823
Phone (517) 203-4042

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

100 E Chicago St
Jonesville, MI 49250
Phone (517) 849-9090

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

4830 Central Park Dr
Okemos, MI 48864
Phone (517) 349-3600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIBIBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIBAAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724544000000",
    "number": "1003512856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 B DR N",
            "city": "CERESCO",
            "state": "MI",
            "postal_code": "490339633",
            "telephone_number": "517-897-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236376",
            "telephone_number": "517-940-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "BENJAMIN",
        "middle_name": "OWEN",
        "name_prefix": "Mr.",
        "credential": "MSN, FNP-BC, CPHQ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-03",
        "last_updated": "2024-08-25",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704371368",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704371368",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "4704371368",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.