Marlene Marie Adams, P.M.H.N.P.
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bassett, VA
NPI 1598022592 · NPPES record last updated Sep 20, 2022
Key facts
- NPI
- 1598022592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 0024169958 (VA)
- Practice address
- 324 T B Stanley Hwy
Bassett, VA 24055-6108 - Phone
- (276) 629-1076
- NPI assigned
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
130 Lakeside LN
Glade Hill, VA 24092-3980
Phone (540) 482-0204
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120712000666 | VA | Practitioner - Nurse Practitioner | 2668637877 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001194442 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0017140487 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0024169958 | VA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keep It Simple BH , PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0017140487 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0001194442 | VA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024169958 | VA | Yes |
Addresses
Primary practice location
324 T B Stanley Hwy
Bassett, VA 24055-6108
Mailing address
130 Lakeside LN
Glade Hill, VA 24092-3980
Other providers in Bassett, VA
- Allegiance Health Service, Inc
- Alternative Minds LLC
- Bassett Rescue Squad Incorporated
- Karen Brodie
- Joseph Daniel Bryant
All providers in Bassett, VA · Psychiatric/Mental Health Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.