Individual provider Active NPI

Marion Reyes

  • Advanced Practice Midwife
  • Marion, IL
National Provider Identifier
1285170746
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
209.015444 Issued in IL
Practice address
3408 Office Park Dr
Marion, IL 62959-6477
Phone
(618) 997-5266
Fax
(618) 997-5285
NPI assigned
Jan 9, 2017
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 209.015444 IL Primary

Addresses

Primary practice location

3408 Office Park Dr
Marion, IL 62959-6477

Mailing address

1407 McPherson Ave
Mount Vernon, IL 62864-2822
Phone (618) 997-5266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602002248 IL Practitioner - Certified Nurse Midwife (CNM) 8921375437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Georgetown University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Women's Healthcare LTDGroup PAC ID 1759270648, 29 clinicians

Practice addresses (Care Compare)

3408 Office Park Dr
Marion, IL 62959-6477
Phone (618) 997-5266

6 Park PL
Swansea, IL 62226-2966
Phone (618) 997-5266

900 E Walnut St
Suite 10
Carbondale, IL 62901-3132
Phone (618) 997-5266

Merit-based Incentive Payment System (MIPS)

Final score
82.36 of 100Reported as group
Quality
84.63
Improvement activities
40
Cost
55.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
209.015444ILMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Women's Healthcare LTD CurrentSince Jun 22, 2018 Accepting new patients
Heartland Women's Healthcare LTD CurrentSince Jun 22, 2018 Accepting new patients
Heartland Women's Healthcare Il PC Past Accepting new patients

Locations

900 E Walnut St
Ste 10
Carbondale, IL 62901

3408 Office Park Dr
Marion, IL 62959
Phone (318) 997-5266

1407 McPherson Ave
Mount Vernon, IL 62864
Phone (618) 244-1178

3230 Veterans Memorial Dr
Mount Vernon, IL 62864

1170 Fortune Blvd
Shiloh, IL 62269
Phone (205) 246-5690

1197 Fortune Blvd
Shiloh, IL 62269

1197 Fortune Blvd
Ste 1
Shiloh, IL 62269
Phone (877) 456-2496

6 Park Pl
Swansea, IL 62226
Phone (618) 233-0522

Interoperability endpoints

  • Direct secure messaging: marion.reyes.1@21608.direct.athenahealth.com

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": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1285170746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 MCPHERSON AVE",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642822",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 OFFICE PARK DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596477",
            "telephone_number": "618-997-5266",
            "fax_number": "618-997-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MARION",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.015444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.