Staci Marie Marshall, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA.11931-NP Issued in OH

Practice address

844 Boulevard St
Dover, OH 44622-2008

Phone

(330) 473-6615

Fax

(330) 441-4352

NPI assigned

Jan 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barrett Pain Associates, IncGroup PAC ID 5294835237, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Hospital, Dover, OH, CCN 360010
• Aultman Hospital Hospital, Canton, OH, CCN 360084
• Twin City Medical Center Hospital, Dennison, OH, CCN 361302
• Pomerene Hospital Hospital, Millersburg, OH, CCN 361337

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, 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.

• Barrett Pain Associates, Inc

  • Pain Medicine Physician
  • Dover, OH
  • NPI 1710180450
  Medicare reassignment Care Compare group NPD
• Anesthesia Care of Union Hospital, Inc.

  • Specialist
  • Dover, OH
  • NPI 1083688220
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Care Compare affiliation
• The Union Hospital Association

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Care Compare affiliation
• Trinity Hospital Twin City

  • Critical Access Hospital
  • Dennison, OH
  • NPI 1992096192
  Care Compare affiliation

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1659675791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222008",
            "telephone_number": "330-473-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 BOULEVARD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222008",
            "telephone_number": "330-473-6615",
            "fax_number": "330-441-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "STACI",
        "middle_name": "MARIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "11931",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.11931-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.11931-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lupi
• Andrew M Luxenberg, M.D.
• Lyfe Counseling LLC
• Marlowe Drug Inc
• Brent Marshall
• Stacy Martin
• Diana Mast, RN
• Katheryn M Maurer, CDCA
• Kristen M Maurer, ATC, PTA
• Renee Lynn Maurer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.
• 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.