Individual provider Active NPI

Nancy Ann Marshall, FNP

  • Family Nurse Practitioner
  • Woodlawn, VA
National Provider Identifier
1033461579
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024170421 Issued in VA
Practice address
5261 Carrollton Pike
Suite B
Woodlawn, VA 24381-3030
Phone
(276) 238-8876
Fax
(276) 238-8886
NPI assigned
Oct 8, 2012
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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 0024170421 VA Primary

Addresses

Primary practice location

5261 Carrollton Pike
Suite B
Woodlawn, VA 24381-3030

Mailing address

5261 Carrollton Pike
Suite B
Woodlawn, VA 24381-3030
Phone (276) 238-8876

Other identifiers 4

IdentifierTypeStateIssuer
261083931OtherTAX ID
1033461579MedicaidVA
DN2980OtherVAGROUP PTAN
P01141245OtherVAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130128000352 VA Practitioner - Nurse Practitioner 2264686252 Reassigns benefits to 4 organizations
I20251020002797 WV Practitioner - Nurse Practitioner 2264686252

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

222 Fulcher St
Hillsville, VA 24343-1633
Phone (276) 728-2486

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024170421VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Mission Wound Care West Virginia, PLLC CurrentSince Jun 5, 2025 Accepting new patients
Rebirth Advanced Healing LLC CurrentSince Nov 20, 2023 Accepting new patients
Advance Practice Geriatrics and Wound Specialist, LLC CurrentSince Sep 1, 2019 Accepting new patients
Old Mission Wound Care Virginia PLLC CurrentSince Aug 3, 2024 Accepting new patients
Regional Healthcare Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Healogics Specialty Physicians of Virginia, LLC CurrentSince Jun 24, 2017 Accepting new patients
Dave Parker Inc Past Accepting new patients
Advanced Practice Adult-Gerontology Past Accepting new patients

Locations

207 E Main St
Ste 3A2
Johnson City, TN 37604
Phone (833) 870-0904

225 Matlage Way
Unit 31
Sugar Land, TX 77487

1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772

222 Fulcher St
Hillsville, VA 24343
Phone (276) 728-2486

1048 Terrace Dr
Marion, VA 24354
Phone (276) 477-4246

8401 Mayland Dr
Ste V
Richmond, VA 23294
Phone (910) 803-3633

514 N Main St
Rural Retreat, VA 24368
Phone (276) 613-4700

14010 Smoketown Rd
Ste 103
Woodbridge, VA 22192
Phone (571) 402-7322

110 Main St
Beckley, WV 25801
Phone (231) 260-4622

Organizations & group practices 9

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 6

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": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1033461579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 CARROLLTON PIKE",
            "address_2": "SUITE B",
            "city": "WOODLAWN",
            "state": "VA",
            "postal_code": "243813030",
            "telephone_number": "276-238-8876",
            "fax_number": "276-238-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 CARROLLTON PIKE",
            "address_2": "SUITE B",
            "city": "WOODLAWN",
            "state": "VA",
            "postal_code": "243813030",
            "telephone_number": "276-238-8876",
            "fax_number": "276-238-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "261083931",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033461579",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "DN2980",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P01141245",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodlawn, VA

Sources for this page

Verify at the official NPI Registry.