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MR. BENJAMIN OWEN MARSHALL MSN, FNP-BC, CPHQ
NPI 1003512856
Nurse Practitioner - Family in East Lansing, MI

Active since February 03, 2023PECOS EnrolledAccepts Medicare Assignment
3500 COOLIDGE RD, EAST LANSING, MI 48823(517) 940-7615 Get Directions Write a Review

NPPES record last updated: August 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2024, Feb 3, 2023 (2 updates tracked since 2023).

About Mr. Benjamin Owen Marshall Msn, Fnp-bc, Cphq NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BENJAMIN OWEN MARSHALL MSN, FNP-BC, CPHQ (NPI 1003512856) is an individual family provider in East Lansing, Michigan, licensed in Michigan (4704371368) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with Promedica Coldwater Regional Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003512856
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BENJAMIN OWEN MARSHALLCredential: MSN, FNP-BC, CPHQ
Location Address3500 COOLIDGE RDEast Lansing, MI 48823-6376
Mailing Address10500 B Dr NCeresco, MI 49033-9633 · (517) 897-3705
Phone(517) 940-7615
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 3, 2023
Last NPPES UpdateAugust 25, 20242 updates tracked since enumeration
NPPES CertifiedAugust 25, 2024
✔ NPI 1003512856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704371368
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704371368 (MI)
3500 COOLIDGE RD, East Lansing, MI 48823
Open in Google Maps ↗

Other Identifiers 1

Other4704371368MI · Registered Nurse License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Benjamin Owen Marshall Msn, Fnp-bc, Cphq is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214463025
PECOS Enrollment IDI20241203004542
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Benjamin Marshall reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Theoria Medical
37 mi
Internal Medicine
6247 GRAND RIVER RD STE 400
Brighton, MI 48114
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
NPI 1164186946 (810) 215-7177
Hillsdale Pulmonary Critical Care And Sleep Medicine PC
58 mi
Pulmonary Disease
3271 W CARLETON RD
Hillsdale, MI 49242
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
NPI 1730361254 (517) 437-3879
Accessnow PLLC
69 mi
Family Medicine
8145 VALLEYWOOD LN
Portage, MI 49024
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1902763741 (313) 505-0595
Accessnow Walk-In Care PLLC
69 mi
Family Medicine
8145 VALLEYWOOD LANE, SUITE B
Portage, MI 49024
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1194674135 (313) 477-7553

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
255 services66 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
86 services21 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
52 services32 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
21 services14 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
18 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
18 services17 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230022
Location274 E Chicago StColdwater, MI 49036 · Branch County
Emergency services Birthing friendly

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48823 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLINT M NORTHROP COTA
Occupational Therapy Assistant
3500 COOLIDGE RD
EAST LANSING, MI 48823
Ingham County (517) 203-4042
COLLEEN MARY-SKIPPY CULLEN
Registered Nurse (Gerontology)
3500 COOLIDGE RD
EAST LANSING, MI 48823
Ingham County (517) 203-4042
JENNIFER SANFORD RN
Registered Nurse
3500 COOLIDGE RD
EAST LANSING, MI 48823
Ingham County (517) 203-4042
ANUP KURIEN
Physical Therapist
3500 COOLIDGE RD
EAST LANSING, MI 48823
Ingham County (517) 203-4042
MRS. BETHANN WEISS RIPLEY SLP
Speech-Language Pathologist
3500 COOLIDGE RD
EAST LANSING, MI 48823
Ingham County (517) 203-4042
TRILOGY HEALTHCARE OF CLINTON, LLC
Skilled Nursing Facility
3500 COOLIDGE RD
EAST LANSING, MI 48823
Ingham County (502) 412-5847

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Marshall's NPI number?

The NPI number for Benjamin Marshall is 1003512856. It was assigned to this individual provider in the NPPES registry on February 3, 2023.

Where is Benjamin Marshall located?

Benjamin Marshall practices at 3500 Coolidge Rd, East Lansing, MI 48823. The listed phone number is (517) 940-7615.

What is Benjamin Marshall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Benjamin Marshall enrolled in Medicare?

Yes. Benjamin Marshall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Benjamin Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Marshall reassigns Medicare benefits to 4 organizations: Theoria Medical (Brighton, MI), Hillsdale Pulmonary Critical Care And Sleep Medicine PC (Hillsdale, MI), Accessnow PLLC (Portage, MI) and Accessnow Walk-In Care PLLC (Portage, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Marshall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Benjamin Marshall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Benjamin Marshall affiliated with any hospitals?

According to CMS data, Benjamin Marshall is affiliated with Promedica Coldwater Regional Hospital and Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Benjamin Marshall was last updated on August 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.