Active NPI
Marsha R Kirchner, CF-NP
- Nurse Practitioner
- Havana, IL
National Provider Identifier
1457544389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209006708
- Practice address
- 615 N Promenade St
Havana, IL 62644-1243 - Phone
- (309) 543-6600
- Fax
- (309) 543-2089
- NPI assigned
- Aug 23, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209006708 | IL | Primary |
Addresses
Primary practice location
615 N Promenade St
Havana, IL 62644-1243
Mailing address
615 N Promenade St
P O Box 530
Havana, IL 62644-1243
Phone (309) 543-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141020001440 | IL | Order and Referring Only - Nurse Practitioner | 8224122320 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Southern Illinois University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mason Hospital District
Practice addresses (Care Compare)
615 N Promenade St
Havana, IL 62644-1243
Phone (309) 543-8510
Hospital & facility affiliations
- Mason District Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209006708 | IL | MD | Nurse Practitioner |
Interoperability endpoints
- marsha.kirchner@hmamdh.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Havana, IL
- NPI 1063478782
-
- Home Health Agency
- Havana, IL
- NPI 1265548010
-
- Rural Health Clinic/Center
- Manito, IL
- NPI 1780128512
-
- Critical Access Hospital
- Havana, IL
- NPI 1902849649
-
- Rural Health Clinic/Center
- Mason City, IL
- NPI 1932166931
Hospital & facility affiliations 2
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": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1457544389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 N PROMENADE ST",
"address_2": "P O BOX 530",
"city": "HAVANA",
"state": "IL",
"postal_code": "626441243",
"telephone_number": "309-543-6600",
"fax_number": "309-543-2089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 N PROMENADE ST",
"city": "HAVANA",
"state": "IL",
"postal_code": "626441243",
"telephone_number": "309-543-6600",
"fax_number": "309-543-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCHNER",
"first_name": "MARSHA",
"middle_name": "R",
"credential": "CF-NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209006708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Havana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.