Individual provider Active NPI

Janice M Marshall, CRNA

  • Certified Registered Nurse Anesthetist
  • Lebanon, NH
National Provider Identifier
1104895291
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
048998-23 Issued in NH
Practice address
1 Medical Center Dr
Lebanon, NH 03756-0001
Phone
(603) 650-6177
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 161411 MA
Certified Registered Nurse Anesthetist 367500000X RN1832372 FL
Certified Registered Nurse Anesthetist 367500000X 048998-23 NH Primary

Addresses

Primary practice location

1 Medical Center Dr
Lebanon, NH 03756-0001

Mailing address

1 Medical Center Dr
Lebanon, NH 03756-0001

Other practice location 1

2537 Islander Ct
Palm Harbor, FL 34683-2608
Phone (727) 415-1971

Other identifiers 4

IdentifierTypeStateIssuer
303726600MedicaidFL
ARNP 1832372OtherFLNURSING BOARD STATE OF FLORIDA
RN161411OtherMAARNP
RN1832372OtherFLFLORIDA RN LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040331000075 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133111230 Reassigns benefits to 1 organization
I20090611000114 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133111230 Reassigns benefits to 1 organization
I20190418000103 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133111230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
Mass General Brigham Medical Group, Inc.Group PAC ID 3971987108, 140 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

47 Middlesex Tpke
Burlington, MA 01803-4945
Phone (857) 282-8100

81 Highland Ave
Salem, MA 01970-2714
Phone (617) 726-4121

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1832372FLMDCertified Registered Nurse Anesthetist
161411MAMDCertified Registered Nurse Anesthetist
048998-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Florida Anesthesiologists, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 5, 2018 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 6, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Apr 1, 2019 Accepting new patients
Mass General Brigham Medical Group, Inc. CurrentSince Jun 2, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Apr 1, 2019 Accepting new patients
Greater Florida Anesthesiologists, LLC Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 6, 2025 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Feb 5, 2018 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Apr 1, 2019 Accepting new patients
Anesthesia Associates of Dunedin Past Accepting new patients
Baycare Anesthesia Associates LLC Past Accepting new patients
Spinecare Associates, LLC Past Accepting new patients
The Clearwater Orthopaedic ASC LLC Past Accepting new patients
David J Samuels MD PA Past Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered PastSince May 7, 2023 Accepting new patients
Advanced Anesthesia Specialist PLLC Past Accepting new patients
Integrated Gastroenterology Consultants, PC Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

3131 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 341-0551

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

601 Main St
Dunedin, FL 34698
Phone (727) 461-1133

2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333

7300 Bryan Dairy Rd
Ste 495
Seminole, FL 33777
Phone (727) 451-6780

900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710

2822 W Virginia Ave
Tampa, FL 33607
Phone (813) 825-0095

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

47 Middlesex Tpke
Burlington, MA 01803
Phone (857) 282-8100

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1104895291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037560001",
            "telephone_number": "603-650-6177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2537 Islander Ct",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346832608",
            "country_code": "US",
            "telephone_number": "727-415-1971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JANICE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "161411",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN1832372",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "048998-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303726600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING BOARD STATE OF FLORIDA",
            "identifier": "ARNP 1832372",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "RN161411",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA RN LICENSE #",
            "identifier": "RN1832372",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.