Active NPI
Benjamin Owen Marshall, MSN, FNP-BC, CPHQ
- Family Nurse Practitioner
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704371368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704371368 | Other | MI | REGISTERED 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
Enrollment records 1
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
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
- Insight Hospital and Medical Center Coldwater
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients | |
| Hillsdale Pulmonary Critical Care and Sleep Medicine PC | Current | Accepting new patients | |
| Advanced Veins and Vascular Management PLC | Past | 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
- https://fhir4.healow.com/fhir/r4/EIBIBD
- 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.
-
- Pulmonary Disease Physician
- Hillsdale, MI
- NPI 1730361254
-
- Internal Medicine Physician
- Novi, MI
- NPI 1609362375
-
- Vascular Surgery Physician
- Hillsdale, MI
- NPI 1972158566
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coldwater, MI
- NPI 1063471639
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.