Individual provider Active NPI

Marina Marlene Overby, NP

  • Family Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1194394098
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R200988 Issued in MD
Practice address
11110 Medical Campus Rd Ste 143
Hagerstown, MD 21742-6755
Phone
(301) 714-4350
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022024349 MO
Family Nurse Practitioner 363LF0000X R200988 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 143
Hagerstown, MD 21742-6755

Mailing address

11110 Medical Campus Rd Ste 143
Hagerstown, MD 21742-6755

Other practice location 1

6700 Race Track Rd
Bowie, MD 20715-3009
Phone (301) 383-2581

Other practice location 2

2115 S Fremont Ave Ste 5000
Springfield, MO 65804-2230
Phone (417) 820-3912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211020001370 DC Practitioner - Nurse Practitioner 3870981061
I20230815000056 MD Practitioner - Nurse Practitioner 3870981061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Practices of Antietam, LLCGroup PAC ID 2567353865, 229 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

Hospital & facility affiliations

  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R200988MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Practices of Antietam LLC CurrentSince Sep 1, 2023 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Meritus Medical Center Inc CurrentSince Sep 1, 2023 Accepting new patients
Meritus Medical Center Inc CurrentSince Sep 1, 2023 Accepting new patients
Medical Practices of Antietam, LLC CurrentSince Sep 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

11110 Medical Campus Rd
Ste 143B
Hagerstown, MD 21742

11110 Medical Campus Rd
Ste 147
Hagerstown, MD 21742
Phone (240) 313-9600

11110 Medical Campus Rd
Ste 143
Hagerstown, MD 21742
Phone (301) 714-4175

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

11110 Medical Campus Rd
Hagerstown, MD 21742
Phone (240) 313-9800

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1194394098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 143",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 143",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426755",
            "telephone_number": "301-714-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Race Track Rd",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207153009",
            "country_code": "US",
            "telephone_number": "301-383-2581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 S Fremont Ave Ste 5000",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042230",
            "country_code": "US",
            "telephone_number": "417-820-3912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERBY",
        "first_name": "MARINA",
        "middle_name": "MARLENE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022024349",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R200988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.