Active NPI
Colleen L Marshall, CRNP
- Family Nurse Practitioner
- Enola, PA
National Provider Identifier
1851837900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP017245
- Practice address
- 4510 Marketplace Way
Enola, PA 17025-2462 - Phone
- (717) 547-6108
- Fax
- (717) 547-6189
- NPI assigned
- Jan 13, 2017
- Last updated
- Dec 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017245 | PA | Primary |
Addresses
Primary practice location
4510 Marketplace Way
Enola, PA 17025-2462
Mailing address
409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612
Phone (717) 547-6108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103275985 | Medicaid | PA |
Other names 1
- Colleen L Ciano
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Manheim | Health Information Exchange (HIE) | |
| Direct Messaging Address | cciano17600@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12 Commerce Dr
Suite B
Wyomissing, PA 19610-3349
Phone (484) 509-1177
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serendipity Psychiatric PLLC | Current | Accepting new patients |
Locations
12 Commerce Dr
Ste B
Wyomissing, PA 19610
Phone (484) 509-1177
Interoperability endpoints
- cciano17600@phsdirect.pinnaclehealth.org
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wyomissing, PA
- NPI 1982598413
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Ephrata Community Hospital
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
dba Ephrata Hospitalist Group
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
dba WellSpan Ephrata Community Hospital
- Clinic/Center
- Ephrata, PA
- NPI 1548423684
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608336000000",
"number": "1851837900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST",
"address_2": "SUITE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612",
"telephone_number": "717-547-6108",
"fax_number": "717-547-6189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 MARKETPLACE WAY",
"city": "ENOLA",
"state": "PA",
"postal_code": "170252462",
"telephone_number": "717-547-6108",
"fax_number": "717-547-6189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "COLLEEN",
"middle_name": "L",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-13",
"last_updated": "2020-12-19",
"certification_date": "2020-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103275985",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Manheim",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4510 Marketplace Way",
"city": "Enola",
"state": "PA",
"country_code": "US",
"postal_code": "170252462",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cciano17600@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "4510 Marketplace Way",
"city": "Enola",
"state": "PA",
"country_code": "US",
"postal_code": "170252462",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "CIANO",
"middle_name": "L",
"credential": "CRNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Enola, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; 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.