Individual provider Active NPI

Marena Dichiara Windle, PA-C

  • Physician Assistant
  • Birmingham, AL
National Provider Identifier
1144993023
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.1808 Issued in AL
Practice address
250 Inverness Center Dr
Birmingham, AL 35242-4834
Phone
(205) 995-5575
Fax
(205) 995-5576
NPI assigned
Jul 27, 2021
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.1808 AL Primary

Addresses

Primary practice location

250 Inverness Center Dr
Birmingham, AL 35242-4834

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

252 Inverness Center Dr
Birmingham, AL 35242-4834
Phone (205) 997-2966

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Marena.Windle@forefrontdermatology.emadirect.md
Direct Messaging Address Marena.Windle@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20221104000920 AL Practitioner - Physician Assistant 4183091119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

250 Inverness Ctr Dr
Birmingham, AL 35242-4834
Phone (205) 995-5575

252 Inverness Ctr Dr
Birmingham, AL 35242-4834
Phone (205) 997-2966

580 Providence Park Dr E
Mobile, AL 36695-4614
Phone (251) 631-3570

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Oct 7, 2022 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Oct 7, 2022 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

252 Inverness Center Dr
Birmingham, AL 35242
Phone (205) 991-0020

250 Inverness Center Dr
Hoover, AL 35242
Phone (205) 995-5575

580 Providence Park Dr E
Mobile, AL 36695
Phone (251) 631-3570

580 Providence Park Dr E
Fl 2
Mobile, AL 36695
Phone (251) 631-3570

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: marena.windle@forefrontdermatology.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1144993023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 INVERNESS CENTER DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424834",
            "telephone_number": "205-995-5575",
            "fax_number": "205-995-5576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 Inverness Center Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352424834",
            "country_code": "US",
            "telephone_number": "205-997-2966",
            "fax_number": "205-379-6842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDLE",
        "first_name": "MARENA",
        "middle_name": "DICHIARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marena.Windle@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "250 Inverness Center Dr",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352424834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marena.Windle@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "252 Inverness Center Dr",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352424834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.