Individual provider Active NPI

Michael Dennis Marshall, CRNP

  • Family Nurse Practitioner
  • McKees Rocks, PA
National Provider Identifier
1508083403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP008982 Issued in PA
Practice address
500 Pine Hollow Rd
MC Kees Rocks, PA 15136-1683
Phone
(412) 250-2600
Fax
(412) 250-0200
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP008982 PA Primary

Addresses

Primary practice location

500 Pine Hollow Rd
MC Kees Rocks, PA 15136-1683

Mailing address

500 Pine Hollow Rd
MC Kees Rocks, PA 15136-1683
Phone (412) 250-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20091211000477 PA Practitioner - Nurse Practitioner 6305986902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

75 Hickle St
Uniontown, PA 15401-4350
Phone (724) 437-9871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP008982PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 30, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 30, 2018 Accepting new patients
Physiatry Consultants of NC PLLC CurrentSince Sep 1, 2023 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

3590 Washington Pike
Bridgeville, PA 15017
Phone (412) 257-2474

501 Thomas Jones Way
Exton, PA 19341
Phone (484) 733-3700

113 W McMurray Rd
McMurray, PA 15317
Phone (724) 681-2752

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

200 Lothrop St
#58
Pittsburgh, PA 15213
Phone (412) 647-6000

6655 Frankstown Ave
Pittsburgh, PA 15206
Phone (412) 665-1316

505 Weyman Rd
Pittsburgh, PA 15236
Phone (412) 884-3500

200 Lothrop St
#5B
Pittsburgh, PA 15213
Phone (412) 647-4123

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

500 Philadelphia Ave
Shillington, PA 19607
Phone (610) 777-7841

75 Hickle St
Uniontown, PA 15401
Phone (724) 437-9871

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508083403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PINE HOLLOW RD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361683",
            "telephone_number": "412-250-2600",
            "fax_number": "412-250-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PINE HOLLOW RD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361683",
            "telephone_number": "412-250-2600",
            "fax_number": "412-250-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "MICHAEL",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKees Rocks, PA

Sources for this page

Verify at the official NPI Registry.