Active NPI
Marissa Shabel
- Family Nurse Practitioner
- Cullman, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-162495
- Practice address
- 1912 Al Highway 157
Cullman, AL 35058-0609 - Phone
- (256) 737-2000
- NPI assigned
- Jul 14, 2021
- Last updated
- Apr 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-162495 | AL | Primary |
| Emergency Registered Nurse | 163WE0003X | 1-162495 | AL |
Addresses
Primary practice location
1912 Al Highway 157
Cullman, AL 35058-0609
Mailing address
909 Avenue E SE
Cullman, AL 35055-3806
Phone (256) 531-7664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1912 Al Hwy 157
Cullman, AL 35058-0609
Phone (240) 686-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-162495 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Medical Alabama LLC | Current | Accepting new patients |
Locations
1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496
12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Cullman, AL
- NPI 1104097666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680912000000",
"number": "1346812716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 AVENUE E SE",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350553806",
"telephone_number": "256-531-7664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 AL HIGHWAY 157",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350580609",
"telephone_number": "256-737-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHABEL",
"first_name": "MARISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2023-04-08",
"certification_date": "2023-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-162495",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "AL",
"license": "1-162495",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2023; 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.