Marlene Wilson-Lavalley, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-089891 Issued in AL

Practice address

500 Hospital Dr
Wetumpka, AL 36092-1625

Phone

(334) 514-3713

NPI assigned

Aug 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elmore Community Hospital Hospital, Wetumpka, AL, CCN 010097
• Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marlene.wilson-lavalley@ich.direct.medconnecthealth.com

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.

• Ivy Creek of Elmore, LLC

  • Rural Health Clinic/Center
  • Tallassee, AL
  • NPI 1558868323
  Medicare reassignment Care Compare group NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• Chilton Family Care, LLC

  • Family Medicine Physician
  • Clanton, AL
  • NPI 1366857674
  Medicare reassignment NPD
• Ivy Creek of Tallapoosa LLC

  • Rural Health Clinic/Center
  • Dadeville, AL
  • NPI 1932130002
  Medicare reassignment NPD
• Ivy Creek Specialty Care

  • Emergency Medical Services (Emergency Medicine) Physician
  • Wetumpka, AL
  • NPI 1396342184
  Medicare reassignment NPD
• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107

  Nurse Practitioner

  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  Nurse Practitioner

  Medicare reassignment NPD
• Physical Express

  • Family Medicine Physician
  • Millbrook, AL
  • NPI 1043362734
  Medicare reassignment NPD
• Wetumpka Urgent Care LLC

  • Urgent Care Clinic/Center
  • Wetumpka, AL
  • NPI 1194057554
  Medicare reassignment NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• Ivy Creek of Elmore, LLC

  • Rural Health Clinic/Center
  • Wetumpka, AL
  • NPI 1508480633
  NPD
• Ivy Creek of Elmore, LLC

  • Rural Health Clinic/Center
  • Deatsville, AL
  • NPI 1578060349
  NPD

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

• Ivy Creek of Elmore, LLC

  • General Acute Care Hospital
  • Wetumpka, AL
  • NPI 1588795942
  Care Compare affiliation
• The Health Care Authority for Baptist Health an Affiliate of Uabhs

  • General Acute Care Hospital
  • Prattville, AL
  • NPI 1942391230
  Care Compare affiliation

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1275919698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360921625",
            "telephone_number": "334-514-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOSPITAL DR",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360921625",
            "telephone_number": "334-514-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-LAVALLEY",
        "first_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-089891",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN195646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wetumpka Urgent Care LLC
• Beth Whatley, MS LPC
• Patricia Dianne White McClanahan, PH.D.
• Holly Worden Wilburn, MSN, CRNP, WHNP-BC
• Thomas Henry Wilder, LPC
• Jessica E Wofford, BCBA
• Lee Chapman Woodall, DMD
• Farron Yarbrough, RN, IBCLC
• Anne S Young, M.D.
• David Clark Young, DMD

• Nurse Practitioner in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.