Individual provider Active NPI

Mary Bryn Kirsten Marsh, PA-C

  • Physician Assistant
  • Greenwood Village, CO
National Provider Identifier
1194002071
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0003242 Issued in CO
Practice address
8200 E Belleview Ave
Suite 404
Greenwood Village, CO 80111-2803
Phone
(303) 796-8200
Fax
(303) 796-0302
NPI assigned
Nov 7, 2011
Last updated
Jul 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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 PA0003242 CO Primary

Addresses

Primary practice location

8200 E Belleview Ave
Suite 404
Greenwood Village, CO 80111-2803

Mailing address

8200 E Belleview Ave
Suite 404
Greenwood Village, CO 80111-2803
Phone (303) 796-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20130816000082 CO Practitioner - Physician Assistant 3072788272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Center for Dermatology, PCGroup PAC ID 7113971268, 7 clinicians

Practice addresses (Care Compare)

17560 S Golden Rd
Suite 100
Golden, CO 80401-2694
Phone (303) 526-1117

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
71.32
Improvement activities
40
Cost
77.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0003242COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie a Stewart MD PC PastSince Jul 1, 2014 Accepting new patients
Colorado Center for Dermatology, PLLC Past Accepting new patients
Daniel J. Wall M.D., Inc Past Accepting new patients

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": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1194002071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "SUITE 404",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112803",
            "telephone_number": "303-796-8200",
            "fax_number": "303-796-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "SUITE 404",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112803",
            "telephone_number": "303-796-8200",
            "fax_number": "303-796-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "MARY BRYN",
        "middle_name": "KIRSTEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0003242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.