Marcella Louise Sorrell, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A155912 Issued in IA

Practice address

1 Edmundson PL Ste 306
Council Bluffs, IA 51503-4620

Phone

(712) 396-4295

Fax

(712) 396-4298

NPI assigned

Oct 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE, IA2 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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pgfhgs Holdings LLCGroup PAC ID 9537695481, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Professionals Home Care Company Home health agency, Lincoln, NE, CCN 287122
• Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marcella.sorrell.1@18616.direct.athenahealth.com

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.

• Pgfhgs Holdings LLC

  • Specialist
  • Omaha, NE
  • NPI 1629884523

  IA

  Medicare reassignment Care Compare group NPD
• Healogics Specialty Physicians of Nebraska, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Norfolk, NE
  • NPI 1831575133

  Family Medicine

  Medicare reassignment NPD

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

• Jennie Edmundson Memorial Hospital

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1457448755
  Care Compare affiliation
• Elite Professionals Home Care LLC

  • Home Health Agency
  • Lincoln, NE
  • NPI 1063433290
  Care Compare affiliation
• Elite Professionals Home Care LLC

  • Home Health Agency
  • Omaha, NE
  • NPI 1346587334
  Care Compare affiliation
• Elite Professionals Home Care LLC

  • Home Health Agency
  • Fremont, NE
  • NPI 1518478403
  Care Compare affiliation

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1780169219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-5210",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDMUNDSON PL STE 306",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034620",
            "telephone_number": "712-396-4295",
            "fax_number": "712-396-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELL",
        "first_name": "MARCELLA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "112640",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A155912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780169219",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026209700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott P Smith, M.D.
• Stephen C Smith, M.D.
• Mike Snook, RPH
• Jeremy Matthew Snow, CRNA
• Jill Renee Sobczyk, P.A.-C
• Jorge F Sotolongo, M.D.
• John G Southard, MD
• Southerncare, Inc
• Southwest Iowa Health Ventures PLLC
• Southwest Iowa Spine Care

• Nurse Practitioner in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.