Individual provider Active NPI

Ashley Victoria Marr, CNP

  • Adult Health Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1396375366
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704283616 Issued in MI
Practice address
309 Page Ave
Jackson, MI 49201-2419
Phone
(517) 205-0500
NPI assigned
Jan 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704283616 MI Primary

Addresses

Primary practice location

309 Page Ave
Jackson, MI 49201-2419

Mailing address

4054 McKenna Dr
Adrian, MI 49221-9033
Phone (517) 673-1476

Other practice location 1

4054 McKenna Dr
Adrian, MI 49221-9033
Phone (517) 673-1476

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address amarr453202@direct.hfhs.org
Direct Messaging Address amarr453202@direct.hfhs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200327000381 MI Practitioner - Nurse Practitioner 2668801648 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Cardiology Consultants PLLCGroup PAC ID 0042545535, 8 clinicians

Practice addresses (Care Compare)

205 Page Ave
Suite B
Jackson, MI 49201-2462
Phone (517) 787-3577

Hospital & facility affiliations

  • Henry Ford Allegiance Health Hospital, Jackson, MI, CCN 230092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704283616MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc Nurse Practitioner CurrentSince Mar 16, 2020 Accepting new patients
Jackson Cardiology Consultants PLLC CurrentSince May 12, 2021 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Mar 16, 2020 Accepting new patients
Wa Foote Memorial Hospital, Inc Nurse Practitioner Current Accepting new patients
Endovascular Center of America PLLC Past Accepting new patients

Locations

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

309 Page Ave
Jackson, MI 49201
Phone (517) 205-1234

205 Page Ave
Ste A
Jackson, MI 49201
Phone (517) 787-3577

110 N Elm Ave
Jackson, MI 49202
Phone (517) 787-1440

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Organizations & group practices 7

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 1

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": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1396375366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4054 MCKENNA DR",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492219033",
            "telephone_number": "517-673-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PAGE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012419",
            "telephone_number": "517-205-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4054 McKenna Dr",
            "address_purpose": "LOCATION",
            "city": "Adrian",
            "state": "MI",
            "postal_code": "492219033",
            "country_code": "US",
            "telephone_number": "517-673-1476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARR",
        "first_name": "ASHLEY",
        "middle_name": "VICTORIA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704283616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amarr453202@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "309 Page Ave",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492012419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amarr453202@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "309 Page Ave",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492012419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.