Marshe Ivy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95018982 Issued in CA

Practice address

7560 Sheldon Rd
Elk Grove, CA 95758-7345

Phone

(916) 250-1627

NPI assigned

Oct 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Otashe Golden MD IncGroup PAC ID 4880021393, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17371/brand/1/csg/1/fhir/r4
• Direct secure messaging: marshe.ivy.4@17371.direct.athenahealth.com

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.

• Otashe Golden, MD, Inc.

  • Family Medicine Physician
  • Elk Grove, CA
  • NPI 1912165598
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment NPD
• Stockton Pace, LLC

  • PACE Provider Organization
  • Stockton, CA
  • NPI 1356830947
  NPD (past)

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1386308955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8984 SIERRA ST",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241952",
            "telephone_number": "510-229-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 SHELDON RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587345",
            "telephone_number": "916-250-1627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10940 Trinity Pkwy",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952197296",
            "country_code": "US",
            "telephone_number": "916-796-9373",
            "fax_number": "800-721-5244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVY",
        "first_name": "MARSHE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miryam Isas-Hurtado
• Kristina K. Ishihara, MD
• Itransit Inc
• Liza IV, MS, RDN
• Reesheda Ivory
• Tracey Iyamu-Sanusi, FNP
• Jabali Behavioral Health Nursing, Inc (Jabali Behavioral Health LLC)
• Laura Lusa Jack
• Carson Jackson
• Christina Jackson

• Family Nurse Practitioner in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.