MARSHALL MEDICAL CENTER
NPI 1073088316
Family Medicine - Addiction Medicine in Placerville, CA
About Marshall Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARSHALL MEDICAL CENTER (NPI 1073088316) is a healthcare organization registered as an addiction medicine in Placerville, California and active in the NPI registry since October 2018. The organization holds a CLIA Microscopy certificate valid through November 5, 2027, maintains a secondary practice location in Cameron Park, and lists Siri Nelson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Other Identifiers 1
Group Practice 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marshall Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
149Medicare enrollment records show 149 clinicians reassign Medicare billing to Marshall Medical Center, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 56 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 24
Nearest to this location (20)
See all 149Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0902386
Marshall Medical Center Dba Marshall Family Medicine-Cameron Park · Cameron Park, CAFrequently 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 Marshall Medical Center's NPI number?
The NPI number for Marshall Medical Center is 1073088316. It was assigned to this organization in the NPPES registry on October 12, 2018.
Where is Marshall Medical Center located?
Marshall Medical Center is located at 1045 Marshall Way, Placerville, CA 95667. The listed phone number is (530) 622-8204.
What is Marshall Medical Center's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.
Is Marshall Medical Center enrolled in Medicare?
Yes. Marshall Medical Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Marshall Medical Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 149 clinicians in 24 Medicare specialties reassign their Medicare billing to Marshall Medical Center. A 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 the clinician's services. The largest specialties are Nurse Practitioner (27), Obstetrics/Gynecology (17) and Internal Medicine (15). Of these, 21 practice at this address and 56 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Marshall Medical Center hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0902386) is associated with this NPI, valid through November 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Marshall Medical Center was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Marshall Medical Center · NPI 1073088316
Addiction Medicine organization in Placerville, California. Organization record, active in the CMS NPPES registry since October 12, 2018.
## Identity
- **NPI:** 1073088316 (Entity type: Organization)
- **Enumerated:** October 12, 2018
- **Primary specialty:** Family Medicine - Addiction Medicine · taxonomy 207QA0401X
- **Organization subpart:** No
- **Authorized official:** Siri Nelson, CEO
## Practice location
- **Address:** 1045 MARSHALL WAY, Placerville, CA 95667-5721
- **Phone:** (530) 622-8204 · **Fax:** (530) 622-8205
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 149 clinicians in 24 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (27), Obstetrics/Gynecology (17), Internal Medicine (15); 21 practice at this address and 56 within 10 miles; [full list](https://npiprofile.com/npi/1073088316/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 9, 2026
- **Other identifiers:** Medicaid ZZZ00439Z (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073088316) · Data from the CMS NPPES public registry.