Individual provider Active NPI

Marilyn Ek, NP-C

  • Family Nurse Practitioner
  • Moorhead, MN
National Provider Identifier
1487745493
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP0959 Issued in MN
Practice address
720 Main Ave
Moorhead, MN 56560-2752
Phone
(218) 359-0399
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R23329 ND
Family Nurse Practitioner 363LF0000X CNP0959 MN Primary

Addresses

Primary practice location

720 Main Ave
Moorhead, MN 56560-2752

Mailing address

1702 University Dr S
Fargo, ND 58103-4940
Phone (701) 364-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND, NY, WI, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20040311000165 MN Practitioner - Nurse Practitioner 8022907906 Reassigns benefits to 1 organization
I20041216000865 ND Practitioner - Nurse Practitioner 8022907906 Reassigns benefits to 1 organization
I20240517000602 NY Practitioner - Nurse Practitioner 8022907906 Reassigns benefits to 1 organization
I20250410003516 WI Practitioner - Nurse Practitioner 8022907906 Reassigns benefits to 1 organization
I20260109000569 FL Practitioner - Nurse Practitioner 8022907906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multiviz Medical Services PCGroup PAC ID 1557274735, 26 clinicians
Medallus and Vacharothone LTDGroup PAC ID 3072871276, 11 clinicians

Practice addresses (Care Compare)

1016 Lakeshore Dr
Rice Lake, WI 54868-1225
Phone (717) 234-9101

2701 Uptown Way S
Fargo, ND 58104-5798
Phone (701) 368-4380

529 Beach 20TH St
Far Rockaway, NY 11691-3615
Phone (718) 327-7307

7300 Del Prado Cir S
Boca Raton, FL 33433-3386
Phone (561) 392-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP0959MNMDFamily Nurse Practitioner
R23329NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chess Medicine PLLC CurrentSince Jul 4, 2023 Accepting new patients
Medallus & Vacharothone LTD Nurse Practitioner CurrentSince May 3, 2024 Accepting new patients
Bruen Medical Partners LLC Current Accepting new patients
Multiviz Medical Services PC CurrentSince Mar 19, 2024 Accepting new patients
Lifecare Medical Center Current Accepting new patients
Rockaway HD LLC Past Accepting new patients
Michael Mahoney Internal Medicine, Inc. Past Accepting new patients
Abiola Familusi PastSince Mar 19, 2024 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

7300 Del Prado Cir S
Boca Raton, FL 33433
Phone (561) 392-3000

2701 Uptown Way S
Fargo, ND 58104
Phone (701) 368-4380

721 1st Ave S
Ste A
Jamestown, ND 58401
Phone (701) 368-4380

529 Beach 20th St
Ste 1
Far Rockaway, NY 11691
Phone (718) 327-4503

529 Beach 20th St
Far Rockaway, NY 11691
Phone (516) 770-5712

300 Garden City Plz
Ste 418
Garden City, NY 11530
Phone (516) 481-7050

80 N Franklin St
Hempstead, NY 11550
Phone (516) 481-6433

1016 Lakeshore Dr
Rice Lake, WI 54868
Phone (715) 234-9101

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487745493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940",
            "telephone_number": "701-364-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAIN AVE",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602752",
            "telephone_number": "218-359-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EK",
        "first_name": "MARILYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R23329",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP0959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

Verify at the official NPI Registry.