LADEAN MARSHALL WHNP
NPI 1235603242
Nurse Practitioner - Women's Health in Denver, CO

Active since January 14, 2019PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
7155 E 38TH AVE, DENVER, CO 80207(800) 230-7526 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2025, Jul 24, 2024, May 23, 2019 and 2 more (5 updates tracked since 2019).

About Ladean Marshall Whnp NPPES

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

LADEAN MARSHALL WHNP (NPI 1235603242) is an individual women's health provider in Denver, Colorado, licensed in Colorado (APN.0994496-NP) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Colorado School Of Medicine, Denver (2018).

NPPES Registry Identity

NPI1235603242
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameLADEAN MARSHALLCredential: WHNP
Location Address7155 E 38TH AVEDenver, CO 80207-1630
Mailing Address9244 E 52nd DrDenver, CO 80238-3795 · (720) 933-5960
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2018
Enumeration DateJanuary 14, 2019
Last NPPES UpdateSeptember 16, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1235603242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in CO · APN.0994496-NP✔ Licensed in GA · RN319881
Also ListedRegistered Nurse · Women's Health Care, AmbulatoryTaxonomy 163WW0101X · License RN.0186756 (CO)
7155 E 38TH AVE, Denver, CO 80207

Secondary Practice Locations 3

Location 14625 Lindell Blvd Fl 2Saint Louis, MO 63108-3739 · Phone (914) 919-9200
Location 21635 Aurora CtAurora, CO 80045-2541 · Phone (720) 848-0000 ext. 6520
Location 312605 E 16th AveAurora, CO 80045-2545 · Phone (720) 933-5960

Other Identifiers 1

Medicaid9000171362CO

Accepted 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

Ladean Marshall Whnp 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 ID345583696
PECOS Enrollment IDI20231128001941
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

3

Medicare enrollment records show Ladean Marshall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2140 PEACHTREE RD NW STE 232
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 108 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Obstetrics & Gynecology
4010 W BOY SCOUT BLVD STE 500
Tampa, FL 33607
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80207 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Registered Nurse
7155 E 38TH AVE
DENVER, CO 80207
Nurse Practitioner (Women's Health)
7155 E 38TH AVE
DENVER, CO 80207
Advanced Practice Midwife
7155 E 38TH AVE
DENVER, CO 80207
Nurse Practitioner (Women's Health)
7155 E 38TH AVE
DENVER, CO 80207
Nurse Practitioner (Women's Health)
7155 E 38TH AVE
DENVER, CO 80207
Nurse Practitioner (Women's Health)
7155 E 38TH AVE
DENVER, CO 80207
Registered Nurse
7155 E 38TH AVE
DENVER, CO 80207
Nurse Practitioner (Obstetrics & Gynecology)
7155 E 38TH AVE
DENVER, CO 80207

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 Ladean Marshall's NPI number?

The NPI number for Ladean Marshall is 1235603242. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Ladean Marshall located?

Ladean Marshall practices at 7155 E 38th Ave, Denver, CO 80207. The listed phone number is (800) 230-7526.

What is Ladean Marshall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Ladean Marshall enrolled in Medicare?

Yes. Ladean 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 Ladean Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ladean Marshall reassigns Medicare benefits to 3 organizations: Medcura Health, Inc. (Atlanta, GA), The Emory Clinic Inc (Atlanta, GA) and Florida Woman Care, LLC (Tampa, FL). 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 Ladean Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ladean Marshall accept?

Health plans from Oscar Health list Ladean 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.

When was this NPI record last updated?

The NPPES record for Ladean Marshall was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.