Marilyn Susan Dorsey, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A.P.R.N.C.N.P.023720 Issued in OH

Practice address

668 Miami St Ste B
Tiffin, OH 44883-2058

Phone

(419) 447-0269

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tiffin Psychiatry Center

  • Psychiatry Physician
  • Tiffin, OH
  • NPI 1659593275
  Medicare reassignment NPD

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1578028528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "668 MIAMI ST STE B",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832058",
            "telephone_number": "419-447-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 MIAMI ST STE B",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832058",
            "telephone_number": "419-447-0269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4468 County Road 175",
            "address_purpose": "LOCATION",
            "city": "Clyde",
            "state": "OH",
            "postal_code": "434109410",
            "country_code": "US",
            "telephone_number": "419-603-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "MARILYN",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "A.P.R.N.C.N.P.023720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Anne Dickinson
• Dinesh C. Thekdi, M.D., Inc.
• Jennifer Lynne Distel
• Kyle D. Dorkoskie, PA-C
• Robert Joseph Dornauer, DDS
• Emily Doster, LSW
• Samantha Ann Dotson, NP-C
• Dr Munir Ahmad MD LTD
• DRS. Hoffman, Birmingham & Associates, Inc.
• Elizabeth Dundore

• Nurse Practitioner in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.