Individual provider Active NPI

Brenda Lynn Marcy, FNP-BC

  • Family Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1023262946
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3552-033 Issued in WI
Practice address
2240 Eastridge Ctr
Eau Claire, WI 54701-3410
Phone
(715) 838-7372
Fax
(715) 838-2910
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3552-033 WI Primary

Addresses

Primary practice location

2240 Eastridge Ctr
Eau Claire, WI 54701-3410

Mailing address

2240 Eastridge Ctr
Eau Claire, WI 54701-3410
Phone (715) 838-7372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20110711000273 WI Order and Referring Only - Nurse Practitioner 5193903458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3552-033WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1023262946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 EASTRIDGE CTR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013410",
            "telephone_number": "715-838-7372",
            "fax_number": "715-838-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 EASTRIDGE CTR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013410",
            "telephone_number": "715-838-7372",
            "fax_number": "715-838-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCY",
        "first_name": "BRENDA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3552-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.