Individual provider Active NPI

Marcelle S Powell, CRNA

  • Certified Registered Nurse Anesthetist
  • Damariscotta, ME
National Provider Identifier
1568511707
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
517142 Issued in TX
Practice address
35 Miles St
Damariscotta, ME 04543-4047
Phone
(903) 360-5104
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X RNA203001 ME
Certified Registered Nurse Anesthetist 367500000X 517142 TX Primary

Addresses

Primary practice location

35 Miles St
Damariscotta, ME 04543-4047

Mailing address

PO Box 8027
Tyler, TX 75711-8027
Phone (903) 526-1068

Other practice location 1

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 526-1068

Other identifiers 1

IdentifierTypeStateIssuer
86321UOtherTXBLUE CROSS OF TX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050520000699 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173509908 Reassigns benefits to 1 organization
I20200330001465 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173509908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.1 of 100Reported as group
Quality
64.8
Promoting interoperability
96
Improvement activities
40
Cost
68.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
40275TXMDPsychologist
RNA203001MEMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group, PLLC Anesthesiology CurrentSince Mar 7, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Sep 6, 2020 Accepting new patients
Eastern Maine Medical Center CurrentSince Sep 6, 2020 Accepting new patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince Mar 7, 2025 Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
East Texas Medical Center Past Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

Organizations & group practices 6

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 1

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1568511707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8027",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757118027",
            "telephone_number": "903-526-1068",
            "fax_number": "903-593-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MILES ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434047",
            "telephone_number": "903-360-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Beckham Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757011908",
            "country_code": "US",
            "telephone_number": "903-526-1068",
            "fax_number": "903-593-4290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MARCELLE",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ME",
            "license": "RNA203001",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "517142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TX",
            "identifier": "86321U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.