Marlene Vickery

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R872088 Issued in MS

Practice address

845 S Madison St
Tupelo, MS 38801-4905

Phone

(662) 377-2539

Fax

(662) 377-2920

NPI assigned

Jan 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Marion Regional Medical Center, Inc.Group PAC ID 1658282322, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marion Regional Medical Center Hospital, Hamilton, AL, CCN 010044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marlenevickery@nmhs.medalliesdirect.net

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.

• Marion Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hamilton, AL
  • NPI 1932160082
  Medicare reassignment Care Compare group NPD
• Relias Hospitalist Medicine Specialists of Hamilton LLC

  • Emergency Medicine Physician
  • Hamilton, AL
  • NPI 1356089874
  Medicare reassignment
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• Marion Regional Medical Center, Inc

  • Multi-Specialty Clinic/Center
  • Hamilton, AL
  • NPI 1992546758
  NPD
• Marion Regional Medical Center, Inc.

  • Rural Health Clinic/Center
  • Hamilton, AL
  • NPI 1205254356
  NPD
• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486

  Family

  NPD (past)
• Tishomingo Health Services, Inc.

  • Clinic/Center
  • Belmont, MS
  • NPI 1295105922
  NPD (past)

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

• Marion Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hamilton, AL
  • NPI 1932160082
  Care Compare affiliation

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1922497759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S MADISON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014905",
            "telephone_number": "662-377-2539",
            "fax_number": "662-377-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERY",
        "first_name": "MARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R872088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Veasey, SLP
• Karthik Venkatesh Prasad, M.D.
• Layla Verrell
• Mary Margaret Via, PHARM.D.
• Cynthia Hope Vick
• Leslie R Villarrubia, DNP, CFNP
• Blair Vinson
• Jason Anthony Vinson, DPT
• Jody Vinson
• Jonathan Vinson, FNP-C

• Family Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.