Individual provider Active NPI

Ingra R Marske, PA-C

  • Physician Assistant
  • Estes Park, CO
National Provider Identifier
1285869263
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2781 Issued in CO
Practice address
555 Prospect Ave
Estes Park, CO 80517-6312
Phone
(970) 586-2200
Fax
(970) 577-4536
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-2781 CO Primary

Addresses

Primary practice location

555 Prospect Ave
Estes Park, CO 80517-6312

Mailing address

555 Prospect Ave
P. O. Box 2715
Estes Park, CO 80517-6312
Phone (970) 586-2200

Other identifiers 1

IdentifierTypeStateIssuer
15587762MedicaidCO

Other names 1

  • Ingra R Marvs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20111103000690 CO Practitioner - Physician Assistant 3678746872

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.12 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
790NEMDSpeech-Language Pathologist
PA-2781COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Estes Valley Medical Center Physician Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1285869263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PROSPECT AVE",
            "address_2": "P. O. BOX 2715",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805176312",
            "telephone_number": "970-586-2200",
            "fax_number": "970-577-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PROSPECT AVE",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805176312",
            "telephone_number": "970-586-2200",
            "fax_number": "970-577-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSKE",
        "first_name": "INGRA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA-2781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15587762",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRA",
            "last_name": "MARVS",
            "middle_name": "R",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Estes Park, CO

Sources for this page

Verify at the official NPI Registry.