Individual provider Active NPI

Makaila Marsh, PA-C

  • Physician Assistant
  • Killeen, TX
National Provider Identifier
1659092526
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2520 Trimmier Rd Ste 100
Killeen, TX 76542-1945
Phone
(254) 390-9110
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2520 Trimmier Rd Ste 100
Killeen, TX 76542-1945

Mailing address

160 Canterbury LN
Winchester, VA 22603-4320
Phone (304) 820-5252

Other practice location 1

3010 E Business 190 Ste 254
Copperas Cove, TX 76522-2517
Phone (254) 577-5642

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL unknown

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
I20221103002815 TX Practitioner - Physician Assistant 7214304203 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA Urgent Care CurrentSince Oct 31, 2022 Accepting new patients
DCS Medical PA CurrentSince Oct 31, 2022 Accepting new patients

Locations

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

3010 E Business 190
Ste 254
Copperas Cove, TX 76522
Phone (254) 577-5642

2520 Trimmier Rd
Ste 100
Killeen, TX 76542
Phone (254) 390-9110

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": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1659092526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CANTERBURY LN",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226034320",
            "telephone_number": "304-820-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 TRIMMIER RD STE 100",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421945",
            "telephone_number": "254-390-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 E Business 190 Ste 254",
            "address_purpose": "LOCATION",
            "city": "Copperas Cove",
            "state": "TX",
            "postal_code": "765222517",
            "country_code": "US",
            "telephone_number": "254-577-5642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "MAKAILA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "address_1": "2520 Trimmier Rd Ste 100",
            "city": "Killeen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765421945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.