Michelle Marino

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5006974 Issued in NC

Practice address

617 Laurel Lake Dr
Columbus, NC 28722-7401

Phone

(828) 894-3446

Fax

(828) 894-5926

NPI assigned

Jul 15, 2014

Last updated

Jul 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acts Retirement-Life Communities IncGroup PAC ID 1951212380, 34 clinicians

Acts Signature Community Services IncGroup PAC ID 5092032284, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advent Health Polk Hospital, Columbus, NC, CCN 341322
• Willowbrooke Court SC Ctr at Tryon Estates Nursing home, Columbus, NC, CCN 345459

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.marino.p1@direct.actslife.nextgenshare.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.

• Acts Retirement-Life Communities, Inc.

  dba Primary Care Services at Tryon Estates

  • Internal Medicine Physician
  • Columbus, NC
  • NPI 1164390712
  Medicare reassignment Care Compare group NPD
• Acts Signature Community Services, Inc.

  dba Primary Care Services at Matthews Glen

  • Internal Medicine Physician
  • Matthews, NC
  • NPI 1306201652
  Medicare reassignment Care Compare group NPD
• Acts Signature Community Services, Inc.

  dba Primary Care Services at Westminster Village

  • Internal Medicine Physician
  • Spanish Fort, AL
  • NPI 1427756303
  NPD

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

• Acts Retirement-Life Communities Inc

  dba Tryon Estates

  • Skilled Nursing Facility
  • Columbus, NC
  • NPI 1952343386

  Nursing home

  Care Compare affiliation
• Fletcher Hospital Inc

  dba Adventhealth Polk

  • Critical Access Hospital
  • Columbus, NC
  • NPI 1891523718
  Care Compare affiliation

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1235546938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 LAUREL LAKE DR",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227401",
            "telephone_number": "828-894-3446",
            "fax_number": "828-894-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 LAUREL LAKE DR",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227401",
            "telephone_number": "828-894-3446",
            "fax_number": "828-894-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Scott McDermott

• Family Nurse Practitioner in Columbus, NC
• Providers in Columbus, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.