Active NPI
Marianne Nelson, AG-ACNP
- Nurse Practitioner
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 56225
- Practice address
- 2381 E Sunnyside Rd
Idaho Falls, ID 83404-7521 - Phone
- (208) 904-4780
- NPI assigned
- Aug 14, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 56225 | ID | Primary |
Addresses
Primary practice location
2381 E Sunnyside Rd
Idaho Falls, ID 83404-7521
Mailing address
3040 Tipperary LN
Idaho Falls, ID 83404-7317
Phone (801) 682-7947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- 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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone (208) 904-4780
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Kidney Institute LLP | Nephrology | Current | Accepting new patients |
| Snake River Hospitalists, LLC | Current | Accepting new patients | |
| Transtreme, LLC | Family | Past | Accepting new patients |
Locations
1501 Hiland Ave
Ste M
Burley, ID 83318
Phone (208) 352-7555
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
2381 E Sunnyside Rd
Idaho Falls, ID 83404
Phone (208) 523-8500
2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000
1259 Pier View Dr
Idaho Falls, ID 83402
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.
-
- Nephrology Physician
- Chubbuck, ID
- NPI 1013064690
-
- Hospitalist Physician
- Idaho Falls, ID
- NPI 1790343580
-
- Family Nurse Practitioner
- Kansas City, MO
- NPI 1003290453
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Rexburg, ID
- NPI 1992747570
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Critical Access Hospital
- Afton, WY
- NPI 1255376406
-
- General Acute Care Hospital
- Jackson, WY
- NPI 1801835475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660435200000",
"number": "1861120180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 TIPPERARY LN",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047317",
"telephone_number": "801-682-7947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2381 E SUNNYSIDE RD",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047521",
"telephone_number": "208-904-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MARIANNE",
"credential": "AG-ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-14",
"last_updated": "2022-08-14",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "56225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.