Individual provider Active NPI

Natalie Rebekah Marshall

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1548739451
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA12541 Issued in TX
Practice address
16110 Via Shavano
San Antonio, TX 78249-2380
Phone
(210) 615-7171
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA12541 TX Primary
Physician Assistant 363A00000X TX

Addresses

Primary practice location

16110 Via Shavano
San Antonio, TX 78249-2380

Mailing address

16110 Via Shavano
San Antonio, TX 78249-2380
Phone (210) 615-7171

Other practice location 1

524 Singing Oaks
Ste 280
Bulverde, TX 78070-6534
Phone (210) 615-7171

Other practice location 2

12415 Bandera Road
Ste 114
Helotes, TX 78023-4265
Phone (210) 615-7171

Other practice location 3

1919 Rogers Road
Ste 101
San Antonio, TX 78251-4755
Phone (210) 615-7171

Other names 1

  • Natalie Rebekah Kitten Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190402001452 TX Practitioner - Physician Assistant 6406197391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen Miller MD PAGroup PAC ID 6800837659, 13 clinicians

Practice addresses (Care Compare)

12415 Bandera Rd
Suite 114
Helotes, TX 78023-4265
Phone (210) 615-7171

16110 Via Shavano
San Antonio, TX 78249-2380
Phone (210) 615-7171

Merit-based Incentive Payment System (MIPS)

Final score
98.46 of 100Reported as individual
Quality
96.93
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Karis McCarroll MD PA CurrentSince Jul 27, 2020 Accepting new patients

Locations

16110 Via Shavano
San Antonio, TX 78249
Phone (210) 562-2660

Organizations & group practices 2

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1548739451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 VIA SHAVANO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492380",
            "telephone_number": "210-615-7171",
            "fax_number": "210-615-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 VIA SHAVANO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492380",
            "telephone_number": "210-615-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Singing Oaks",
            "address_2": "Ste 280",
            "address_purpose": "LOCATION",
            "city": "Bulverde",
            "state": "TX",
            "postal_code": "780706534",
            "country_code": "US",
            "telephone_number": "210-615-7171",
            "fax_number": "210-615-6793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12415 Bandera Road",
            "address_2": "Ste 114",
            "address_purpose": "LOCATION",
            "city": "Helotes",
            "state": "TX",
            "postal_code": "780234265",
            "country_code": "US",
            "telephone_number": "210-615-7171",
            "fax_number": "210-615-6793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 Rogers Road",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514755",
            "country_code": "US",
            "telephone_number": "210-615-7171",
            "fax_number": "210-615-6793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "NATALIE",
        "middle_name": "REBEKAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA12541",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "KITTEN",
            "middle_name": "REBEKAH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.