Individual provider Active NPI

Marshall Crespin, PA-C

  • Physician Assistant
  • Fishersville, VA
National Provider Identifier
1497125009
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005546 Issued in VA
Practice address
70 Medical Center Cir Ste 206
Fishersville, VA 22939-2273
Phone
(540) 932-5875
Fax
(540) 332-5876
NPI assigned
Sep 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110005546 VA Primary

Addresses

Primary practice location

70 Medical Center Cir Ste 206
Fishersville, VA 22939-2273

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-5878

Other practice location 1

78 Medical Center Dr
Fishersville, VA 22939-2332
Phone (540) 332-4000

Other practice location 2

201 Lew DeWitt Blvd Ste 100
Waynesboro, VA 22980-1663
Phone (540) 245-7940

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marshall.crespin.1@14718.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160202001026 UT Practitioner - Physician Assistant 0648574251 Reassigns benefits to 1 organization
I20170427001434 VA Practitioner - Physician Assistant 0648574251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Utah School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

53 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 332-5687

70 Medical Ctr Cir
Fishersville, VA 22939-2273

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 332-5595

9 S Medical Park Dr
Fishersville, VA 22939-2333
Phone (540) 245-7350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110005546VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Health Care, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Augusta Health Care, Inc CurrentSince Aug 3, 2020 Accepting new patients
Augusta Medical Group CurrentSince Mar 20, 2017 Accepting new patients
University of Utah Adult Services CurrentSince Dec 8, 2015 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Dec 8, 2015 Accepting new patients

Locations

175 N Medical Dr
Slc, UT 84112
Phone (801) 581-6908

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

70 Medical Center Cir
Ste 206
Fishersville, VA 22939
Phone (540) 332-5878

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465

851 Statler Blvd
Staunton, VA 24401
Phone (540) 245-7470

2570 Stuarts Draft Hwy
Ste 100
Stuarts Draft, VA 24477
Phone (540) 245-7800

201 Lew Dewitt Blvd
Ste A
Waynesboro, VA 22980
Phone (540) 245-7940

201 Lew Dewitt Blvd
Ste 100
Waynesboro, VA 22980
Phone (540) 245-7940

1140 Keezletown Rd
Weyers Cave, VA 24486
Phone (540) 453-0040

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 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": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1497125009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-932-5878",
            "fax_number": "540-332-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER CIR STE 206",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392273",
            "telephone_number": "540-932-5875",
            "fax_number": "540-332-5876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Fishersville",
            "state": "VA",
            "postal_code": "229392332",
            "country_code": "US",
            "telephone_number": "540-332-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Lew DeWitt Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "VA",
            "postal_code": "229801663",
            "country_code": "US",
            "telephone_number": "540-245-7940",
            "fax_number": "540-245-7941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRESPIN",
        "first_name": "MARSHALL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-25",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marshall.crespin.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "70 Medical Center Cir Ste 206",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.