Individual provider Active NPI

Marianne Hope Stone, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Baker City, OR
National Provider Identifier
1922869585
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
10031318 Issued in OR
Practice address
2533 3Rd St
Baker City, OR 97814-2305
Phone
(541) 519-1230
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 200342060RN OR
Acute Care Nurse Practitioner 363LA2100X 10031318 OR Primary

Addresses

Primary practice location

2533 3Rd St
Baker City, OR 97814-2305

Mailing address

2533 3Rd St
Baker City, OR 97814-2305
Phone (541) 519-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20241121000536 OR Practitioner - Nurse Practitioner 0244765774 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200342060RNORMDRegistered Nurse
10031318ORMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coquille Valley Hospital District CurrentSince Nov 4, 2024 Accepting new patients
Coquille Valley Hospital District CurrentSince Nov 4, 2024 Accepting new patients

Locations

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

790 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c5c3b5c-6128-40bc-b71b-102ccb82d7e7/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1922869585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 3RD ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142305",
            "telephone_number": "541-519-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 3RD ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978142305",
            "telephone_number": "541-519-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MARIANNE",
        "middle_name": "HOPE",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200342060RN",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "10031318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

Verify at the official NPI Registry.