Active NPI
Marcelle S Powell, CRNA
- Certified Registered Nurse Anesthetist
- Damariscotta, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 517142
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86321U | Other | TX | BLUE CROSS OF TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, ME
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 40275 | TX | MD | Psychologist |
| RNA203001 | ME | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Anesthesiology Group, PLLC | Anesthesiology | Current | Accepting new patients |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Austin Anesthesiology Group PLLC | Anesthesiology | Current | 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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
-
- Land Ambulance
- Bellmead, TX
- NPI 1568964518
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
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.