Ann E Marchetta, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

650349 Issued in TX

Practice address

1533 S Brownlee Blvd Ste 100
Corpus Christi, TX 78404-3131

Phone

(361) 884-2242

NPI assigned

Aug 23, 2006

Last updated

Oct 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019

  Nurse Practitioner

  NPD (past)
• San Angelo Emergency Physicians

  • Emergency Medicine Physician
  • San Angelo, TX
  • NPI 1134177975
  NPD (past)
• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oshkosh, WI
  • NPI 1326858044
  NPD (past)
• Green Bay Emergency Medicine Services S.C.

  • Emergency Medicine Physician
  • Green Bay, WI
  • NPI 1366424111
  NPD (past)
• The Lakes Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, WI
  • NPI 1699778233
  NPD (past)
• Thedacare Medical Center - Wild Rose, Inc

  dba Waushara Family Physicians

  • Non-Pharmacy Dispensing Site
  • Wild Rose, WI
  • NPI 1710018817
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1023125580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GROVE AVE",
            "address_2": "PO BOX 314",
            "city": "WILD ROSE",
            "state": "WI",
            "postal_code": "549846901",
            "telephone_number": "920-622-5560",
            "fax_number": "920-622-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 S BROWNLEE BLVD STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043131",
            "telephone_number": "361-884-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Wild Rose",
            "state": "WI",
            "postal_code": "549846901",
            "country_code": "US",
            "telephone_number": "920-622-5560",
            "fax_number": "920-622-5598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHETTA",
        "first_name": "ANN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "943-033",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "650349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LF0000X",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Michelle Manzano, OTA
• Goharam Manzoor, MD
• Marc Ibanez MD PA
• Jeffrey Marcee, NP
• Marcel Marcelo, FNP
• Kevin S Marcum, P.A.-C.
• Dominique Anthony Mares, CSFA
• Jenna Mares
• Maria Luisa Lira MD PA
• Marian Hendricks DO PA

• Nurse Practitioner in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.