Individual provider Active NPI

Marcus Lee Witzel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1265177661
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-176858 Issued in AL
Practice address
1965 Al Highway 157 Ste B
Cullman, AL 35058-0672
Phone
(256) 975-4291
Fax
(256) 429-9411
NPI assigned
Apr 29, 2022
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-176858 AL Primary
Registered Nurse 163W00000X 1-176858 AL

Addresses

Primary practice location

1965 Al Highway 157 Ste B
Cullman, AL 35058-0672

Mailing address

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333

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
I20240126000555 AL Practitioner - Nurse Practitioner 3779936729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

1985 Al Hwy 157
Suite B
Cullman, AL 35058-1124
Phone (256) 775-8824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Health, Inc. Psychiatric/Mental Health CurrentSince Dec 23, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. PastSince May 1, 2022 Accepting new patients
Iop Behavioral Health, LLC PastSince Dec 17, 2023 Accepting new patients

Locations

4984 Overton Rd
Birmingham, AL 35210
Phone (205) 768-5558

1965 AL Highway 157
#B
Cullman, AL 35058
Phone (256) 736-5507

1985 AL Highway 157
Ste B
Cullman, AL 35058
Phone (256) 300-2595

1615 Kathy Ln SW
Ste 102
Decatur, AL 35603
Phone (256) 686-4441

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

Organizations & group practices 3

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1265177661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUN TEMPLE DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588643",
            "telephone_number": "256-288-3333",
            "fax_number": "256-288-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 AL HIGHWAY 157 STE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580672",
            "telephone_number": "256-975-4291",
            "fax_number": "256-429-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITZEL",
        "first_name": "MARCUS",
        "middle_name": "LEE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-29",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-176858",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-176858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.