Individual provider Active NPI

Marcia L. Wills, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Portsmouth, NH
National Provider Identifier
1679660799
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
33230 Issued in NH
Practice address
333 Borthwick Ave Dept of
Portsmouth, NH 03801-7128
Phone
(603) 433-4907
Fax
(603) 433-4910
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 018544 ME
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 042.0013462 VT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 33230 NH Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD39313 TN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 244652 MA

Addresses

Primary practice location

333 Borthwick Ave Dept of
Portsmouth, NH 03801-7128

Mailing address

PO Box 745745
Atlanta, GA 30374-5745
Phone (603) 433-4907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101109000769 NH Practitioner - Pathology 3577551175 Reassigns benefits to 1 organization
I20190521002342 MD Practitioner - Pathology 3577551175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Geisel School of Medicine at Dartmouth, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forward Pathology Solutions - New Hampshire LLCGroup PAC ID 3274950266, 5 clinicians

Practice addresses (Care Compare)

333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone (603) 433-4907

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Parkland Medical Center Hospital, Derry, NH, CCN 300017
  • Frisbie Memorial Hospital Hospital, Rochester, NH, CCN 300014
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018544MEMDAnatomic Pathology & Clinical Pathology Physician
33230NHMDAnatomic Pathology & Clinical Pathology Physician
MD39313TNMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester River Hospital Center CurrentSince Jan 22, 2020 Accepting new patients
Forward Pathology Solutions - New Hampshire, LLC Anatomic Pathology & Clinical Pathology CurrentSince Oct 7, 2024 Accepting new patients
Chester River Health Center CurrentSince Jan 22, 2020 Accepting new patients

Locations

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

219 S Washington St
Easton, MD 21601

1 Parkland Dr
Derry, NH 03038
Phone (603) 421-2220

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

11 Whitehall Rd
Rochester, NH 03867
Phone (603) 330-7905

Interoperability endpoints

  • Direct secure messaging: mwills570853@direct.umm.edu
  • Direct secure messaging: wills.marcia@elincdirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1679660799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745745",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745745",
            "telephone_number": "603-433-4907",
            "fax_number": "603-433-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 BORTHWICK AVE DEPT OF",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017128",
            "telephone_number": "603-433-4907",
            "fax_number": "603-433-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "MARCIA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ME",
            "license": "018544",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VT",
            "license": "042.0013462",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NH",
            "license": "33230",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD39313",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "244652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.