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MARCELLE THERESA FOURNET
NPI 1215622113
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 06, 2023PECOS Enrolled
4301 W MARKHAM ST # 584, LITTLE ROCK, AR 72205(501) 686-7000 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2026, Apr 6, 2023 (2 updates tracked since 2023).

About Marcelle Theresa Fournet NPPES

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

MARCELLE THERESA FOURNET (NPI 1215622113) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215622113
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARCELLE THERESA FOURNET
Location Address4301 W MARKHAM ST # 584Little Rock, AR 72205-7199
Mailing Address4301 W Markham St # 584Little Rock, AR 72205-7199 · (501) 686-7000
Phone(501) 686-7000
Sole ProprietorYes
Enumeration DateApril 6, 2023
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1215622113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 353478 (LA)
4301 W MARKHAM ST # 584, Little Rock, AR 72205
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Secondary Practice Locations 2

Location 11 Childrens Way # 512-19BLittle Rock, AR 72202-3500 · Phone (501) 364-2833
Location 21125 N College Ave # 100Fayetteville, AR 72703-1908 · Phone (479) 713-8310

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marcelle Theresa Fournet is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Marcelle Fournet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coolidge Emergency Group LLC
314 mi
Emergency Medicine
1214 COOLIDGE BLVD
Lafayette, LA 70503
  • Reassigned Medicare billing, Louisiana enrollment
  • 87 clinicians in this Medicare group
NPI 1801140934 (800) 893-9698

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

Other Providers at the Same Location NPPES 20

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

GITANSH BHARGAVA DO
Emergency Medicine
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
KELLY LONG DO
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6996
MATT SAENZ
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Pulaski County (501) 526-7485
MELISSA PAIGE DAILEY MD
Emergency Medicine
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Pulaski County (501) 526-7485
NHAN H PHAN MD
Internal Medicine (Critical Care Medicine)
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Pulaski County (501) 686-5515
BRENDAN MOORE MD
Emergency Medicine
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Pulaski County (501) 562-2085
CODY R HOLMES PA-C
Physician Assistant
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
DR. MATTHEW JOHN DENEFE MD
Emergency Medicine
4301 W MARKHAM ST # 584
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6996

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 Marcelle Fournet's NPI number?

The NPI number for Marcelle Fournet is 1215622113. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Marcelle Fournet located?

Marcelle Fournet practices at 4301 W Markham St # 584, Little Rock, AR 72205. The listed phone number is (501) 686-7000.

What is Marcelle Fournet's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marcelle Fournet enrolled in Medicare?

Yes. Marcelle Fournet is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marcelle Fournet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcelle Fournet reassigns Medicare benefits to Coolidge Emergency Group LLC (Lafayette, LA). The 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 Marcelle Fournet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marcelle Fournet was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.