Michelle Marshburn, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5012972 Issued in NC

Practice address

625 Country Day Rd
Goldsboro, NC 27530-8888

Phone

(919) 731-4048

NPI assigned

Mar 18, 2020

Sex

Female

Sole proprietor

No

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 NC

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Envision Pain Management PLLCGroup PAC ID 2961836713, 7 clinicians

Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Watauga Medical Center Hospital, Boone, NC, CCN 340051
• Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325
• Charles a Cannon Jr Memorial Hospital Hospital, Linville, NC, CCN 341323

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.marshburn.1@25542.direct.athenahealth.com
• Direct secure messaging: mmarshburn345502@directhisp.wakemed.org
• FHIR API: https://api.platform.athenahealth.com/25542/brand/2/csg/1/fhir/r4

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.

• Envision Pain Management PLLC

  • Pain Medicine Physician
  • Clyde, NC
  • NPI 1144863358
  Medicare reassignment Care Compare group NPD
• Envision Pain Management PLLC

  • Pain Medicine Physician
  • Delafield, WI
  • NPI 1417687138
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ashe Memorial Hospital Inc

  • Critical Access Hospital
  • Jefferson, NC
  • NPI 1376671370
  Care Compare affiliation
• Charles a Cannon Jr Memorial Hospital Inc

  • Psychiatric Hospital Unit
  • Linville, NC
  • NPI 1407006968
  Care Compare affiliation
• Charles a Cannon Jr Memorial Hospital Inc.

  • Critical Access Hospital
  • Linville, NC
  • NPI 1225088255
  Care Compare affiliation
• Watauga Medical Center Inc

  • General Acute Care Hospital
  • Boone, NC
  • NPI 1205859766
  Care Compare affiliation

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1417583717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 ROYAL HUNT CT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021348",
            "telephone_number": "919-917-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COUNTRY DAY RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275308888",
            "telephone_number": "919-731-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHBURN",
        "first_name": "MICHELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Margolis, M.D.
• Margretes Grace and Mercies
• Ari-Beth Cohen Marlyne, MD
• Manly Ernest Marshall, M.D.
• Seema Marshall, CDAC-R
• Skylar Martin, DPT
• Michele Lynne Martinez, LPC
• Lisa Jo Masciave, LPC, LCAS-P
• Massage With Peggy Arensmeyer
• Meredith Busick Massenburg, SLP

• Nurse Practitioner in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.