Individual provider Active NPI

Emily Marsh, FNP-C

  • Nurse Practitioner
  • Minot, ND
National Provider Identifier
1700618188
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
200658 Issued in ND
Practice address
1324 20TH Ave SW Ste 1
Minot, ND 58701-6452
Phone
(701) 838-6000
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 200658 ND Primary

Addresses

Primary practice location

1324 20TH Ave SW Ste 1
Minot, ND 58701-6452

Mailing address

2404 Crescent Dr
Minot, ND 58703-1674
Phone (763) 350-5799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20241014004262 ND Practitioner - Nurse Practitioner 9234661323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Health ClinicGroup PAC ID 7810391828, 4 clinicians

Practice addresses (Care Compare)

1603 35TH Ave SW
Minot, ND 58701-8406
Phone (701) 838-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200658NDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Health Clinic CurrentSince Oct 7, 2024 Accepting new patients
Legacy Health Clinic, LLC Past Accepting new patients

Locations

1324 20th Ave SW
Ste 1
Minot, ND 58701
Phone (701) 838-6000

1603 35th Ave SW
Minot, ND 58701
Phone (701) 838-6000

1324 20th Ave SW
Minot, ND 58701
Phone (701) 720-0737

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1700618188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 CRESCENT DR",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031674",
            "telephone_number": "763-350-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 20TH AVE SW STE 1",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016452",
            "telephone_number": "701-838-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "EMILY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "200658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.