Marquetta D Colbert, MS, APRN, PMHNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA 10322-NP Issued in OH

Practice address

2580 Shiloh Springs Rd
Suite B
Trotwood, OH 45426-2151

Phone

(937) 529-4376

Fax

(937) 529-4538

NPI assigned

Jan 7, 2009

Last updated

Mar 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drcolbert@colbertfamilyhealth.medentdirect.com

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.

• Colbert Family Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayton, OH
  • NPI 1619295425

  Family

  Medicare reassignment NPD Authorized official
• Mvhe Inc

  dba Middletown Medical Group

  • Internal Medicine Physician
  • Middletown, OH
  • NPI 1497154827
  NPD (past)

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

• Miami Valley Hospital

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1073688354
  Care Compare affiliation

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647734400000",
    "number": "1891932208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 SHILOH SPRINGS RD STE B",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262100",
            "telephone_number": "937-529-4376",
            "fax_number": "937-529-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 SHILOH SPRINGS RD",
            "address_2": "SUITE B",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262151",
            "telephone_number": "937-529-4376",
            "fax_number": "937-529-4538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Turner Rd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454153617",
            "country_code": "US",
            "telephone_number": "937-529-4376",
            "fax_number": "937-529-4538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "MARQUETTA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "MS, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2022-03-20",
        "certification_date": "2022-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 10322-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "2021118317",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3052575",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clean Slate Sober Living
• Clean Slate Sober Living
• Clean Slate Sober Living, LLC
• Natasha Sharese Clements, RN
• Ulissa N Coatney
• Community Health Centers of Greater Dayton (MET Dental Center)
• Delona Saron Cook, RN
• Mary Cook
• Terri Lee Cooper, L.P.N
• Kelsey Copeland

• Family Nurse Practitioner in Trotwood, OH
• Providers in Trotwood, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.