Individual provider Active NPI

Marsha Criscio Nelson, M.D.

  • Surgery Physician
  • Fayetteville, NC
National Provider Identifier
1063542736
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
158306 Issued in NC
Practice address
1841 Quiet CV
Fayetteville, NC 28304-3985
Phone
(910) 829-6588
Fax
(910) 829-6596
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 158306 NC Primary

Addresses

Primary practice location

1841 Quiet CV
Fayetteville, NC 28304-3985

Mailing address

PO Box 64367
Fayetteville, NC 28306-0367
Phone (910) 829-6588

Other identifiers 2

IdentifierTypeStateIssuer
1063542736OtherNCVA CHOICE
1063542736MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140909001810 NC Practitioner - General Surgery 7810087053 Reassigns benefits to 1 organization
I20230807001997 VA Practitioner - General Surgery 7810087053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians

Practice addresses (Care Compare)

1000 N Shenandoah Ave
Front Royal, VA 22630-3547
Phone (540) 636-0300

1830 Amherst St
Winchester, VA 22601-2808
Phone (540) 667-1828

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

1860 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

1880 Amherst St
Winchester, VA 22601-2808

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158306NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Sep 1, 2023 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Feb 1, 2018 Accepting new patients
Valley Physician Enterprise, Inc. Surgery CurrentSince Sep 1, 2023 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Winchester Medical Center, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Feb 1, 2018 Accepting new patients
Valley Physician Enterprise, Inc Surgery Current Accepting new patients
Winchester Medical Center Current Accepting new patients

Locations

1841 Quiet Cv
Fayetteville, NC 28304
Phone (910) 323-2626

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 210
Winchester, VA 22601

400 Campus Blvd
Ste 220
Winchester, VA 22601
Phone (540) 536-5466

Interoperability endpoints

  • Direct secure messaging: mnelson32524@capefearvalley.direct-ci.com
  • Direct secure messaging: mnelson1156663@valleyhealth.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1063542736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64367",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283060367",
            "telephone_number": "910-829-6588",
            "fax_number": "910-829-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 QUIET CV",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043985",
            "telephone_number": "910-829-6588",
            "fax_number": "910-829-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARSHA",
        "middle_name": "CRISCIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "158306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA CHOICE",
            "identifier": "1063542736",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063542736",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.