Marcia Elise McGinnis, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3007793 Issued in KY

Practice address

5905 Grandel Blvd
Louisville, KY 40258-3099

Phone

(502) 489-7351

NPI assigned

Dec 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Marcia King Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Omni Resource Services Inc Public Health and Wellness Center

  • Health Service Clinic/Center
  • Louisville, KY
  • NPI 1437969300
  Medicare reassignment NPD
• Perfect Unity Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1245988401
  Medicare reassignment NPD
• Neurology and Pain Management Associates PC

  dba GuideStar Eldercare

  • Internal Medicine Physician
  • Crown Point, IN
  • NPI 1518900620

  Family

  NPD (past)

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

{
    "created_epoch": "1354406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1104161116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S. FIFTH STREET",
            "address_2": "SUITE 2500",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023066",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 GRANDEL BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583099",
            "telephone_number": "502-489-7351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S. Fifth Street",
            "address_2": "Suite 2500",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023066",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGINNIS",
        "first_name": "MARCIA",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-02",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007793",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3007793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "KING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie Lynn McGillvary, COTA/L
• Bridget McGinnis, LCADC, LPCA
• Celese Renada McGinnis, MS, BCBA, LBA
• Joel Nathan McGinnis, DO
• Kynlee Jo Hillard McGinnis, DO
• Michelle Dubey McGinnis, LCSW
• Tom McGinnis
• Madeline McGinty-Holmes
• Patricia G. McGinty, PH.D.
• Erin McGiveney

• Psychiatric/Mental Health Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.

Verify at the official NPI Registry.