Active NPI
Marc Reimers, FNP-C
- Family Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP144994
- Practice address
- 1905 S Donnybrook Ave
Tyler, TX 75701-4216 - Phone
- (903) 939-7500
- Fax
- (903) 939-7728
- NPI assigned
- Mar 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP144994 | TX | Primary |
Addresses
Primary practice location
1905 S Donnybrook Ave
Tyler, TX 75701-4216
Mailing address
3414 Golden Rd
Tyler, TX 75701-8336
Phone (903) 939-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP144994 | Other | TX | LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Flint | ||
| CONNECT URL | Flint |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1814 Roseland Blvd
Suite 100
Tyler, TX 75701-4262
Phone (214) 696-8033
Hospital & facility affiliations
- Baylor Scott & White Texas Spine & Joint Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP144994 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Physician Associates PLLC | Current | Accepting new patients | |
| Ipa ER Group PLLC | Current | Accepting new patients | |
| Texas Spine and Joint Hospital, LLC | Current | Accepting new patients |
Locations
17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033
6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690
3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000
2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600
3414 Golden Rd
Tyler, TX 75701
Phone (903) 590-3050
1814 Roseland Blvd
Tyler, TX 75701
Phone (903) 525-3300
1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033
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.
-
- Emergency Medicine Physician
- Trophy Club, TX
- NPI 1588488571
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1285696898
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1942292255
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1942292255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1053946368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3414 GOLDEN RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757018336",
"telephone_number": "903-939-7500",
"fax_number": "903-939-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 S DONNYBROOK AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757014216",
"telephone_number": "903-939-7500",
"fax_number": "903-939-7728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIMERS",
"first_name": "MARC",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-06",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP144994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AP144994",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Flint",
"affiliation": "N",
"endpointDescription": "City",
"address_1": "19902 County Road 172",
"city": "Flint",
"state": "TX",
"country_code": "US",
"postal_code": "757626304",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Flint",
"affiliation": "N",
"endpointDescription": "City",
"address_1": "1814 Roseland Blvd",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757014234",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.