Individual provider Active NPI

Erika Vanelle Marin, PA-C

  • Medical Physician Assistant
  • Warsaw, IN
National Provider Identifier
1669954475
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2680 Escalade Way
Warsaw, IN 46582
Phone
(574) 306-4128
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

2680 Escalade Way
Warsaw, IN 46582

Mailing address

425 Raleigh CT
Columbia City, IN 46725-7422
Phone (605) 941-0641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190620002176 IN Practitioner - Physician Assistant 3577897826 Reassigns benefits to 1 organization
I20241204000766 NY Practitioner - Physician Assistant 3577897826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

18 Courtney Dr
Fairport, NY 14450-3338
Phone (585) 421-7537

4189 Veterans Memorial Dr
Batavia, NY 14020-1274
Phone (585) 201-5598

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032472NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care LTD Past Accepting new patients
Illinois Urgent Care Professionals PLLC PastSince Jan 8, 2026 Accepting new patients
Pic Wisconsin SC PastSince Sep 25, 2019 Accepting new patients

Organizations & group practices 5

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1669954475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 RALEIGH CT",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467257422",
            "telephone_number": "605-941-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 ESCALADE WAY",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "46582",
            "telephone_number": "574-306-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "ERIKA",
        "middle_name": "VANELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.