Individual provider Active NPI

Marc Joseph Muscarello, FNP

  • Nurse Practitioner
  • Independence, LA
National Provider Identifier
1356124994
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
231551 Issued in LA
Practice address
52579 Highway 51 S
Independence, LA 70443-2231
Phone
(225) 485-4419
NPI assigned
Aug 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 231551 LA Primary

Addresses

Primary practice location

52579 Highway 51 S
Independence, LA 70443-2231

Mailing address

14136 E Black Cat Rd
Independence, LA 70443-2234
Phone (225) 485-4419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20231005000040 LA Practitioner - Nurse Practitioner 4981059326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Meter Emergency Physicians Inc. ApmcGroup PAC ID 4981761590, 26 clinicians

Practice addresses (Care Compare)

52579 Hwy 51 S
Independence, LA 70443-2231
Phone (504) 878-9421

Hospital & facility affiliations

  • Lallie Kemp Medical Center Hospital, Independence, LA, CCN 191321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231551LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Van Meter Emergency Physicians Inc. Apmc CurrentSince Sep 1, 2023 Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

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.

Hospital & facility affiliations 2

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1356124994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14136 E BLACK CAT RD",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704432234",
            "telephone_number": "225-485-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52579 HIGHWAY 51 S",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "704432231",
            "telephone_number": "225-485-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCARELLO",
        "first_name": "MARC",
        "middle_name": "JOSEPH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "231551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, LA

Sources for this page

Verify at the official NPI Registry.