Individual provider Active NPI

Katie L Marsh, PA

  • Physician Assistant
  • Galena, KS
National Provider Identifier
1528095973
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1501358 Issued in KS
Practice address
444 Four States Dr
Suite 1
Galena, KS 66739
Phone
(620) 783-4441
Fax
(620) 783-4090
NPI assigned
Jun 28, 2006
Last updated
Mar 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2005004536 MO
Physician Assistant 363A00000X 1501358 KS Primary

Addresses

Primary practice location

444 Four States Dr
Suite 1
Galena, KS 66739

Mailing address

PO Box 2546
Joplin, MO 64803-2546
Phone (620) 783-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20070214000013 MO Practitioner - Physician Assistant 3476594607 Reassigns benefits to 1 organization
I20100309000074 KS Practitioner - Physician Assistant 3476594607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, shared by 3 NPIs, 288 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524

1619
K66
Galena, KS 66739-4306
Phone (417) 781-4404

1717 S Range Line Rd B
Joplin, MO 64804-3224

220 N Pennsylvania Ave
Columbus, KS 66725-1110

3125 Dr Russell Smith Way
Carthage, MO 64836-7402

403 Woodland Hills Blvd
Mercy Clinic Radiology
Fort Scott, KS 66701-8798
Phone (417) 556-4762

444 Four States Dr
Suite 1
Galena, KS 66739-4325
Phone (877) 783-4441

94 Main St
Cassville, MO 65625-1610
Phone (417) 782-7722

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince May 3, 2020 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jan 25, 2020 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jan 25, 2020 Accepting new patients

Locations

220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545

403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762

444 Four States Dr
Ste 1
Galena, KS 66739
Phone (877) 783-4441

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

2817 Saint Johns Blvd
Joplin, MO 64804
Phone (417) 625-2300

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

Interoperability endpoints

  • Direct secure messaging: kmarsh1057078@directc.mercy.net

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1528095973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2546",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032546",
            "telephone_number": "620-783-4441",
            "fax_number": "620-783-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOUR STATES DR",
            "address_2": "SUITE 1",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "66739",
            "telephone_number": "620-783-4441",
            "fax_number": "620-783-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2005004536",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1501358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galena, KS

Sources for this page

Verify at the official NPI Registry.