Individual provider Active NPI

Marvin Parker, MSN, FNP

  • Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1386341048
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0035385 Issued in OH
Practice address
3454 Oak Alley CT
Toledo, OH 43606-1306
Phone
(419) 290-3799
Fax
(419) 912-5463
NPI assigned
Feb 13, 2023
Last updated
Apr 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704379022 MI
Nurse Practitioner 363L00000X APRN.CNP.0035385 OH Primary

Addresses

Primary practice location

3454 Oak Alley CT
Toledo, OH 43606-1306

Mailing address

3454 Oak Alley CT Ste 505
Toledo, OH 43606-1356
Phone (419) 290-3799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240422001300 OH Practitioner - Nurse Practitioner 4789023896 Reassigns benefits to 2 organizations

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
Wildwood Counseling Services LLCGroup PAC ID 8921548736, 4 clinicians

Practice addresses (Care Compare)

3454 Oak Alley CT
Suite 209
Toledo, OH 43606-1370
Phone (419) 405-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704379022MIMDNurse Practitioner
APRN.CNP.0035385OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Reineck LLC CurrentSince Apr 20, 2025 Accepting new patients
Wildwood Counseling Services LLC CurrentSince Jun 6, 2025 Accepting new patients

Locations

3454 Oak Alley Ct
Ste 209
Toledo, OH 43606
Phone (419) 405-1000

3454 Oak Alley Ct
Ste 505
Toledo, OH 43606
Phone (419) 405-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1386341048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 505",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061356",
            "telephone_number": "419-290-3799",
            "fax_number": "419-912-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061306",
            "telephone_number": "419-290-3799",
            "fax_number": "419-912-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MARVIN",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704379022",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0035385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.