Individual provider Active NPI

Nicholas R Marchesani, DC

  • Chiropractor
  • Morgantown, WV
National Provider Identifier
1003996943
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
WV716 Issued in WV
Practice address
460 Mylan Park LN
Morgantown, WV 26501-2281
Phone
(304) 983-7766
Fax
(304) 983-7768
NPI assigned
Oct 16, 2006
Last updated
May 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X WV716 WV Primary

Addresses

Primary practice location

460 Mylan Park LN
Morgantown, WV 26501-2281

Mailing address

460 Mylan Park LN
Morgantown, WV 26501-2281
Phone (304) 983-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000215 WV Practitioner - Chiropractic 9234171430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1075 Van Voorhis Rd
Suite 150
Morgantown, WV 26505-3588
Phone (304) 598-6216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WV716WVMDChiropractor
716WVMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Jun 12, 2017 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 12, 2017 Accepting new patients
Professional Medical Rehabilitation Inc. CurrentSince Sep 1, 2010 Accepting new patients
Emil Chiropractic LLC Chiropractor Past Accepting new patients
United Hospital Center, Inc. Past Accepting new patients

Locations

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

1075 Van Voorhis Rd
Ste 150
Morgantown, WV 26505
Phone (304) 598-0122

460 Mylan Park Ln
Morgantown, WV 26501
Phone (304) 983-2771

200 Route 98 W St
Ste 107
Nutter Fort, WV 26301
Phone (304) 623-5711

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1003996943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MYLAN PARK LN",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012281",
            "telephone_number": "304-983-7766",
            "fax_number": "304-983-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MYLAN PARK LN",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265012281",
            "telephone_number": "304-983-7766",
            "fax_number": "304-983-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESANI",
        "first_name": "NICHOLAS",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "WV716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.