Active NPI
Ashley Victoria Marr, CNP
- Adult Health Nurse Practitioner
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704283616
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
205 Page Ave
Suite B
Jackson, MI 49201-2462
Phone (517) 787-3577
Hospital & facility affiliations
- Henry Ford Allegiance Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704283616 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Nurse Practitioner | Current | Accepting new patients |
| Jackson Cardiology Consultants PLLC | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current | 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.
-
- Interventional Cardiology Physician
- Jackson, MI
- NPI 1053970624
-
- Nurse Practitioner
- Jackson, MI
- NPI 1629000708
-
- Hospitalist Physician
- Northville, MI
- NPI 1205418357
-
- Nurse Practitioner
- Jackson, MI
- NPI 1366988347
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Vascular Surgery Physician
- Jackson, MI
- NPI 1962092213
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.