Active NPI
Mary Ann Marrs, CNP
- Clinical Nurse Specialist
- Rapid City, SD
National Provider Identifier
1144201708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- SD-CNP CP000412
- Practice address
- 7220 S Highway 16
Rapid City, SD 57702-8708 - Phone
- (605) 341-1414
- Fax
- (605) 341-7062
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R029403 | SD | |
| Clinical Nurse Specialist | 364S00000X | SD-CNP CP000412 | SD | Primary |
Addresses
Primary practice location
7220 S Highway 16
Rapid City, SD 57702-8708
Mailing address
7220 S Highway 16
PO Box 6850
Rapid City, SD 57702-8708
Phone (605) 341-1414
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00427538 | Other | MEDICARE RAILROAD PTAN | |
| 1254560001 | Other | SD | CIGNA MEDICARE |
| 6827452 | Medicaid | SD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SD-CNP CP000412 | SD | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Hills Orthopedic & Spine Center, Inc. | Past | Accepting new patients | |
| Black Hills Hospitalist | Past | Accepting new patients | |
| Rushmore Clinic, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71180
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Rapid City, SD
- NPI 1073843124
-
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1477523678
-
- Internal Medicine Physician
- Rapid City, SD
- NPI 1124184510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1144201708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7220 S HIGHWAY 16",
"address_2": "PO BOX 6850",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028708",
"telephone_number": "605-341-1414",
"fax_number": "605-341-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 S HIGHWAY 16",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577028708",
"telephone_number": "605-341-1414",
"fax_number": "605-341-7062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRS",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "R029403",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "SD",
"license": "SD-CNP CP000412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PTAN",
"identifier": "P00427538",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MEDICARE",
"identifier": "1254560001",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6827452",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.