Ami S Marshall, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

003111 Issued in CT

Practice address

530 Middlebury Rd Ste 103a
Middlebury, CT 06762-2547

Phone

(203) 527-6953

Fax

(203) 528-4331

NPI assigned

Aug 9, 2006

Last updated

Apr 24, 2024By the provider in NPPES

Sex

Female

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 2

Other names 1

• Ami Rebers Former name

Medicare fee-for-service enrollment

Enrolled in CT

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Connecticut Primary Care and Wellness PCGroup PAC ID 3779857727, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Mary's Hospital Hospital, Waterbury, CT, CCN 070016

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amarshall367888@direct.ynhh.org
• Direct secure messaging: ami.marshall.1@16511.direct.athenahealth.com

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.

• Connecticut Primary Care and Wellness PC

  • Primary Care Clinic/Center
  • Middlebury, CT
  • NPI 1407378946
  Medicare reassignment Care Compare group
• Planned Parenthood of Southern New England, Inc.

  • Ambulatory Family Planning Facility
  • New Haven, CT
  • NPI 1174633143
  Medicare reassignment NPD
• Yale University

  dba Yale Medicine

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236
  Medicare reassignment NPD
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD
• Absolute Outcomes, LLC

  • Internal Medicine Physician
  • Monroe, CT
  • NPI 1073746202
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Mary's Hospital, Inc.

  • General Acute Care Hospital
  • Waterbury, CT
  • NPI 1760426969
  Care Compare affiliation

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1154331015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 MIDDLEBURY RD STE 103A",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622547",
            "telephone_number": "203-527-6953",
            "fax_number": "203-528-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 MIDDLEBURY RD STE 103A",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622547",
            "telephone_number": "203-527-6953",
            "fax_number": "203-528-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Yale Community Health Care Clinic",
            "address_2": "270 Congress Ave",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191403",
            "country_code": "US",
            "telephone_number": "203-764-9959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "469 Migeon Ave",
            "address_2": "Community Health & Wellness Center of Greater Torr.",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067904643",
            "country_code": "US",
            "telephone_number": "860-489-0931",
            "fax_number": "860-489-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "AMI",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "003111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "500001891",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004247872",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMI",
            "last_name": "REBERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Irina Magidina, M.D.
• Nicole H Mariano, DMD
• Catherine Ann Marini, MS, OTR
• Amber Elizabeth Marino, PT
• Patricia Marie Marriott, PA-C, MPAS
• Alicia Martin, MSPT
• Iolanda F Marucci, LCSW
• Krista Maturo, LPC
• Joycelyn Dadural Maw, M.D.
• Garret Mazur, LCSW

• Adult Health Nurse Practitioner in Middlebury, CT
• Providers in Middlebury, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.