Dana L Marino

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704202282 Issued in MI

Practice address

1241 E Dyer Rd Ste 145
Santa Ana, CA 92705-5694

Phone

(888) 306-0615

NPI assigned

Aug 19, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Tree Medical Associates PCGroup PAC ID 9638128523, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339
• Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmarino244059@epic00.corewelldirect.org
• FHIR API: https://fhir4.healow.com/fhir/r4/JIBDAA/Endpoint/JIBDAA

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.

• Family Tree Medical Associates PC

  • Family Medicine Physician
  • Hastings, MI
  • NPI 1518033976

  MI

  Medicare reassignment Care Compare group
• Hollen Family Medicine, PLLC

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1063977528

  MI

  Medicare reassignment NPD
• Grand Rapids Addiction Medicine Specialists PC

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1780642355
  NPD (past)
• Hospitalists of West Michigan PC

  • Infusion Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1942334636
  NPD (past)
• Infusion Associates PLLC

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1487622296
  NPD (past)

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

• Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525

  Hospital

  Care Compare affiliation
• Spectrum Health Hospitals

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1295982536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 COLORADO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495063916",
            "telephone_number": "616-890-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E DYER RD STE 145",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055694",
            "telephone_number": "888-306-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "DANA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704202282",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704202282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "4704202282",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venus Macias Marin, NP(NURSE PRACTITIONE
• Yellena Margarita Marin, RN
• Christopher Andreas Marinakis, PTA
• Mariners Physical Therapy, Inc.
• Marinia Group, Inc.
• Amber Nicole Marinoff, M.A.
• Mario G. Valdez D.D.S., Professional Corporation
• Cynthia Marie Mariuta, FNP-C
• Mark a. Goodfellow, D.D.S., Inc.
• Mark Girgis, D.M.D.

• Adult Health Nurse Practitioner in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.