Individual provider Active NPI

Lisa Amy Marcus, CNM

  • Advanced Practice Midwife
  • Philadelphia, PA
National Provider Identifier
1669637732
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010177 Issued in PA
Practice address
800 Walnut St FL 14
Philadelphia, PA 19107-5176
Phone
(215) 829-8000
Fax
(215) 829-8623
NPI assigned
Jul 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X MW010177 PA Primary

Addresses

Primary practice location

800 Walnut St FL 14
Philadelphia, PA 19107-5176

Mailing address

800 Walnut St FL 14
Philadelphia, PA 19107-5176
Phone (215) 829-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130905000679 PA Practitioner - Certified Nurse Midwife (CNM) 8224271580 Reassigns benefits to 3 organizations
I20190515000574 NJ Practitioner - Certified Nurse Midwife (CNM) 8224271580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 Walnut St FL
14 Penn OB/GYN and Midwifery Care
Philadelphia, PA 19107-5176
Phone (215) 829-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Camcare Health Corporation CurrentSince Mar 5, 2019 Accepting new patients
Tower Health Medical Group CurrentSince May 9, 2016 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Aug 17, 2020 Accepting new patients
Greater Philadelphia Health Action Inc. CurrentSince Aug 14, 2013 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Advanced Practice Midwife CurrentSince Aug 17, 2020 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Tower Health Medical Group CurrentSince May 9, 2016 Accepting new patients
Greater Philadelphia Health Action Inc. Current Accepting new patients
Greater Philadelphia Health Action, Inc. CurrentSince Aug 14, 2013 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Camcare Health Corporation CurrentSince Mar 5, 2019 Accepting new patients

Locations

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

817 Federal St
Ste 300
Camden, NJ 08103
Phone (856) 541-5933

432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000

800 Walnut St
Fl 14
Philadelphia, PA 19107
Phone (215) 829-3445

4510 Frankford Ave
Philadelphia, PA 19124
Phone (215) 744-1302

800 Walnut St
Philadelphia, PA 19107
Phone (215) 454-3218

5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700

1999 W Hunting Park Ave
Philadelphia, PA 19140
Phone (215) 228-9300

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 11

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1669637732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST FL 14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-8000",
            "fax_number": "215-829-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WALNUT ST FL 14",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075176",
            "telephone_number": "215-829-8000",
            "fax_number": "215-829-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "LISA",
        "middle_name": "AMY",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.