Kevin Kip Marsh, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2003018972 Issued in MO

Practice address

2715 E Battlefield St
Springfield, MO 65804-3981

Phone

(866) 389-2727

NPI assigned

Aug 31, 2005

Last updated

Mar 15, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MO

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, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fastdoc Urgent Care Centers of Missouri LLCGroup PAC ID 7113433962, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Fastdoc Urgent Care Centers of Missouri LLC

  dba FastDoc Urgent Care

  • Urgent Care Clinic/Center
  • Marshfield, MO
  • NPI 1316733603
  Medicare reassignment Care Compare group NPD
• Wellpointe Family Medical

  • Rural Health Clinic/Center
  • Marshfield, MO
  • NPI 1720073638
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1104810506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 ROCK COURT DR",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657067402",
            "telephone_number": "417-942-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 E BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043981",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "KEVIN",
        "middle_name": "KIP",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2003018972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42873101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda L Markovich, MA, LPC
• James A Markusic, PH.D.
• Carolyn S Marley, ANP
• Martha L Marlin, L.P.C.
• Kerry A. Marsh, M.A., PLPC
• Melanie Marsh, NP
• Derrick Marshall, DDS
• Emily Dawn Marshall, MS, LPC
• Jacquelyn B Marshall, CRNA
• Marla Rhea Marshall, SLP

• Family Nurse Practitioner in Springfield, MO
• Providers in Springfield, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.