Craig Anthony Marshall, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Lytle, TX
NPI 1295022804 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1295022804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 673498 (TX)
- Practice address
- 462 Wildflower Dr
Lytle, TX 78052-3955 - Phone
- (210) 396-2732
- NPI assigned
- Jul 3, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Laredo ICU LLC
Community Medicine Associates
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
- Laredo Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.65 of 100
- Quality
- 83.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.03
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120323000022 | TX | Practitioner - Nurse Practitioner | 4587824859 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Care Consultants, Inc | Current |
Accepting new patients | |
| Laredo ICU, LLC | Current |
Accepting new patients | |
| Hospital Care Consultants of Corpus Christi | Current |
Accepting new patients | |
| Community Medicine Associates | Current |
Accepting new patients | |
| Texas Emergency Room Services PA | Past | Accepting new patients | |
| Pain Management Specialists | Past |
Accepting new patients | |
| Texas Em-1 Medical Services, PA | Past | 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
4647 Medical Dr
San Antonio, TX 78229
Phone (210) 358-2710
18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
Interoperability endpoints
- craig.marshall.1@25207.direct.athenahealth.com
- cmarshall41252@uhssa.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 673498 | TX | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 874N80 | Other | TX | BCBS |
Other providers in Lytle, TX
- Lytle Family Dentistry & Orthodontics
- Lytle Family Practice PA
- Lytle Isd
- Lytle Nursing Home
- Lytle Pediatric Dentistry, PLLC
- Minnie Soto Martinez
- Sylvia Salinas Martinez
- Giselle Mata
- Emily M McRae
- MG Medical Billing LLC
All providers in Lytle, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.