Shelly Jean Marion, F.N.P.-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

079739-23 Issued in NH

Practice address

410 Miracle Mile
Lebanon, NH 03766-2639

Phone

(603) 276-3260

Fax

(603) 277-4044

NPI assigned

May 22, 2017

Last updated

May 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, ME, MA3 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 3

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Clearchoicemd, PLLCGroup PAC ID 1850510058, 85 clinicians

Carewell Urgent Care Centers of Ma, PCGroup PAC ID 7618124470, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carewell Urgent Care Centers of Ma, P.C

  dba CareWell Urgent Care

  • Urgent Care Clinic/Center
  • South Dennis, MA
  • NPI 1740543214
  Medicare reassignment Care Compare group NPD
• Clearchoicemd, PLLC

  • Urgent Care Clinic/Center
  • Berlin, VT
  • NPI 1851722417

  ME, NH

  Medicare reassignment Care Compare group NPD
• Alliance Urgent Care Services, LLC

  • Urgent Care Clinic/Center
  • Goffstown, NH
  • NPI 1093295792
  Medicare reassignment NPD
• Keady Family Practice, LLC

  • Family Health Clinical Nurse Specialist
  • Claremont, NH
  • NPI 1033466784
  Medicare reassignment NPD
• Clearchoicemd, PLLC

  • Urgent Care Clinic/Center
  • Alton, NH
  • NPI 1720705403
  NPD
• Carewell Urgent Care Centers of Ma, PC

  • Urgent Care Clinic/Center
  • Fitchburg, MA
  • NPI 1699121962
  NPD
• Clearchoicemd Primary Care PLLC

  • Family Medicine Physician
  • Saint Albans, VT
  • NPI 1326582529
  NPD (past)
• Cloud Health Medical Group of New Jersey, P.C.

  • Internal Medicine Physician
  • Union City, NJ
  • NPI 1043995467
  NPD (past)
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1831626837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MIRACLE MILE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MIRACLE MILE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662639",
            "telephone_number": "603-276-3260",
            "fax_number": "603-277-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "SHELLY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "F.N.P.-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006538",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006538",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "079739-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Marchant
• Evadne G Marcolini, MD
• Amy Marcoux
• Lynette Joan Margesson, MD
• Jacob Margulies, CRNA
• Kristin Markle
• Jacob Matthew Markwood
• Jonathan D Marotti, M.D.
• Angelica Starr Marrufo, MD
• Jaime Marsh-Ebbighausen

• Family Nurse Practitioner in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.