Billy Wayne Marcantel, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

224346 Issued in LA

Practice address

100 Veterans Way
Eglin Afb, FL 32542-1038

Phone

(850) 609-2600

NPI assigned

Dec 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: billy.marcantel@va.gov

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1073224135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 LAURA CIR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633761",
            "telephone_number": "337-563-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VETERANS WAY",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421038",
            "telephone_number": "850-609-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCANTEL",
        "first_name": "BILLY",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002995240",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Billy.Marcantel@va.gov",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Veterans Way",
            "city": "Eglin AFB",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325421038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Porter Wolfgang Maerz, MD
• Christopher Ray Mahoney, M.D.
• Rhonda Mailman, LCSW
• Felix Mamani, MD
• Celestine Ann Mararac, MD
• Elizabeth Risch Marks, LCSW
• Shanda R. Marshall, WHNP-BC
• Martin Army Community Hospital
• Martin Army Community Hospital
• Jonathan Martin, MD

• Family Nurse Practitioner in Eglin Afb, FL
• Providers in Eglin Afb, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.