Individual provider Active NPI

Marlo Arvilla Kirby, MSN, NP

  • Nurse Practitioner
  • Marshall, MI
National Provider Identifier
1013021807
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704216807 Issued in MI
Practice address
200 N Madison St
Marshall, MI 49068-1143
Phone
(269) 781-4271
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704216807 MI Primary

Addresses

Primary practice location

200 N Madison St
Marshall, MI 49068-1143

Mailing address

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

Other identifiers 1

IdentifierTypeStateIssuer
4790130MedicaidMI

Other names 1

  • Mrs. Marlo Arvilla Gaver Former name

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
I20051115000170 MI Practitioner - Nurse Practitioner 1951320407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit PointeGroup PAC ID 4587551189, 24 clinicians

Practice addresses (Care Compare)

140 Michigan Ave W
Battle Creek, MI 49017-3602
Phone (269) 966-2866

Hospital & facility affiliations

  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Pointe Current Accepting new patients
Summit Pointe CurrentSince Mar 20, 2013 Accepting new patients

Locations

8472 Reliable Pkwy
Chicago, IL 60686

3630 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 966-1460

3630 Capital Ave SW
Ste 1
Battle Creek, MI 49015
Phone (269) 979-8333

175 College St
Battle Creek, MI 49037
Phone (269) 966-1460

140 Michigan Ave W
Battle Creek, MI 49017
Phone (269) 966-1460

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1013021807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MADISON ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681143",
            "telephone_number": "269-781-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MADISON ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681143",
            "telephone_number": "269-781-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "MARLO",
        "middle_name": "ARVILLA",
        "name_prefix": "Mrs.",
        "credential": "MSN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704216807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4790130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLO",
            "last_name": "GAVER",
            "middle_name": "ARVILLA",
            "prefix": "MRS.",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.