Individual provider Active NPI

Craig Anthony Marshall, FNP-C

  • Family Nurse Practitioner
  • Lytle, TX
National Provider Identifier
1295022804
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
673498 Issued in TX
Practice address
462 Wildflower Dr
Lytle, TX 78052-3955
Phone
(210) 396-2732
NPI assigned
Jul 3, 2011
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 673498 TX Primary

Addresses

Primary practice location

462 Wildflower Dr
Lytle, TX 78052-3955

Mailing address

462 Wildflower Dr
Lytle, TX 78052-3955
Phone (210) 396-2732

Other practice location 1

400 N Harrison St
Alpine, TX 79832-4403
Phone (210) 396-2732

Other practice location 2

4647 Medical Dr
San Antonio, TX 78229-4403
Phone (210) 358-5510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120323000022 TX Practitioner - Nurse Practitioner 4587824859 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo ICU LLCGroup PAC ID 7618324898, 27 clinicians
Community Medicine AssociatesGroup PAC ID 7719979509, 590 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo, TX 78041-5474
Phone (956) 796-4658

4647 Medical Dr
San Antonio, TX 78229-4403
Phone (210) 358-2710

903 W Martin St
Ms 49 2
San Antonio, TX 78207-3110
Phone (210) 358-3441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
83.62
Promoting interoperability
100
Improvement activities
40
Cost
78.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates CurrentSince Feb 12, 2012 Accepting new patients
Hospital Care Consultants of Corpus Christi CurrentSince Jun 28, 2023 Accepting new patients
Laredo ICU, LLC CurrentSince Oct 21, 2023 Accepting new patients
Hospital Care Consultants, Inc CurrentSince Jun 28, 2023 Accepting new patients
Texas Emergency Room Services PA Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
Pain Management Specialists PastSince Feb 7, 2021 Accepting new patients

Locations

6130 Parkway Dr
Corpus Christi, TX 78414
Phone (361) 826-5785

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800

4647 Medical Dr
San Antonio, TX 78229
Phone (210) 358-2710

903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441

Interoperability endpoints

  • Direct secure messaging: cmarshall41252@uhssa.direct-ci.com
  • Direct secure messaging: craig.marshall.1@25207.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1309651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1295022804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 WILDFLOWER DR",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780523955",
            "telephone_number": "210-396-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 WILDFLOWER DR",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780523955",
            "telephone_number": "210-396-2732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Harrison St",
            "address_purpose": "LOCATION",
            "city": "Alpine",
            "state": "TX",
            "postal_code": "798324403",
            "country_code": "US",
            "telephone_number": "210-396-2732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4647 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294403",
            "country_code": "US",
            "telephone_number": "210-358-5510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CRAIG",
        "middle_name": "ANTHONY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-03",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "673498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lytle, TX

Sources for this page

Verify at the official NPI Registry.