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MARCUS LAWRENCE COULDRIDGE
NPI 1194468504
Family Medicine in Shiprock, NM

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment
PO BOX 160, SHIPROCK, NM 87420(505) 368-6001 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Apr 14, 2022 (2 updates tracked since 2022).

About Marcus Lawrence Couldridge NPPES

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

MARCUS LAWRENCE COULDRIDGE (NPI 1194468504) is an individual family medicine provider in Shiprock, New Mexico, licensed in New Mexico (MD2025-0605) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of University Of Washington School Of Medicine (2022).

NPPES Registry Identity

NPI1194468504
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARCUS LAWRENCE COULDRIDGE
Location AddressPO BOX 160Shiprock, NM 87420-0160
Mailing AddressPo Box 160Shiprock, NM 87420-0160
Phone(505) 368-6001
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2022
Enumeration DateApril 14, 2022
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1194468504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · MD2025-0605
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
PO BOX 160, Shiprock, NM 87420
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marcus Lawrence Couldridge 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 ID547640922
PECOS Enrollment IDI20260320002219
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.

Hospital Affiliations CMS Care Compare 2

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM
OwnershipGovernment - Federal
CMS Certification Number320059
LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 13

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

MR. STEPHEN W SHANKS DO
Family Medicine
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 326-6001
CHERILYNN LEA BENALLY CPNP-PC
Nurse Practitioner (Pediatrics)
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6760
CRYSTAL CHI PHARMD
Pharmacist
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6001
TANYA LISTER CNM
Advanced Practice Midwife
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6900
LEIGHTON PRUITT APRN, FNP-C
Nurse Practitioner (Family)
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6001
EDGAR ALLAN BAUTISTA RN
Registered Nurse (Emergency)
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6001
JONATHAN MICHAEL CHAVEZ PHARMD
Pharmacist
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6001
VICTORIA VEGA RPH
Pharmacist
PO BOX 160
SHIPROCK, NM 87420
San Juan County (505) 368-6001

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 Marcus Couldridge's NPI number?

The NPI number for Marcus Couldridge is 1194468504. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Marcus Couldridge located?

Marcus Couldridge practices at PO Box 160, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is Marcus Couldridge's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marcus Couldridge enrolled in Medicare?

Yes. Marcus Couldridge 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.

Is Marcus Couldridge affiliated with any hospitals?

According to CMS data, Marcus Couldridge is affiliated with San Juan Regional Medical Center Inc and Northern Navajo Medical Center.

When was this NPI record last updated?

The NPPES record for Marcus Couldridge was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.