Active NPI
Melissa Spencer Marshall, ARNP
- Nurse Practitioner
- Council Bluffs, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A105753
- Practice address
- 1001 Risen Son Blvd
Council Bluffs, IA 51503-1910 - Phone
- (712) 256-8600
- Fax
- (712) 256-8599
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A105753 | IA | Primary |
Addresses
Primary practice location
1001 Risen Son Blvd
Council Bluffs, IA 51503-1910
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Medical Center | Current | Accepting new patients | |
| All Care Health Center | Current | Accepting new patients | |
| Physicians Clinic Inc | Nurse Practitioner | Current | Accepting new patients |
| Shenandoah Medical Center | Current | Accepting new patients | |
| Shenandoah Medical Center | Current | Accepting new patients | |
| Clarinda Regional Health Center | Current | Accepting new patients | |
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| All Care Health Center | Current | Accepting new patients | |
| Infinite Medical PC | Nurse Practitioner | Current | Accepting new patients |
Locations
220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330
1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801
1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000
1001 Risen Son Blvd
Council Bluffs, IA 51503
Phone (712) 256-8591
902 S 6th St
Rm A
Council Bluffs, IA 51501
902 S 6th St
Council Bluffs, IA 51501
Phone (712) 256-6583
320 Ebaugh St
Glenwood, IA 51534
Phone (712) 527-5204
300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230
1 Jack Foster Dr
Shenandoah, IA 51601
Phone (712) 246-7240
2855 40th Ave
Columbus, NE 68601
Phone (402) 563-8014
318 W 18th St
#1110
Cozad, NE 69130
1405 W US Highway 34
Grand Island, NE 68801
Phone (308) 382-6394
825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451
5505 Grover St
Omaha, NE 68106
Phone (402) 558-0225
250 Skillman St
Ste 202
Brooklyn, NY 11205
Interoperability endpoints
- melissa.marshall@direct.nmhs.org
- https://webprd.ochin.org/prd-fhir/allcarehealthcenter/api/FHIR/R4
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Council Bluffs, IA
- NPI 1114906906
-
- Family Medicine Physician
- Clarinda, IA
- NPI 1629196241
-
- Certified Registered Nurse Anesthetist
- Shenandoah, IA
- NPI 1497810972
-
- Community/Retail Pharmacy
- Council Bluffs, IA
- NPI 1124461363
-
- Rural Health Clinic/Center
- Shenandoah, IA
- NPI 1427300201
-
- Community/Retail Pharmacy
- Shenandoah, IA
- NPI 1447937230
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1356690887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 RISEN SON BLVD",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515031910",
"telephone_number": "712-256-8600",
"fax_number": "712-256-8599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "MELISSA",
"middle_name": "SPENCER",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A105753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.