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CRAIG ANTHONY MARSHALL FNP-C
NPI 1295022804
Nurse Practitioner - Family in Lytle, TX

Active since July 03, 2011PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
462 WILDFLOWER DR, LYTLE, TX 78052(210) 396-2732 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Craig Anthony Marshall Fnp-c NPPES

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

CRAIG ANTHONY MARSHALL FNP-C (NPI 1295022804) is an individual family provider in Lytle, Texas, licensed in Texas (673498) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Laredo Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295022804
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCRAIG ANTHONY MARSHALLCredential: FNP-C
Location Address462 WILDFLOWER DRLytle, TX 78052-3955
Mailing Address462 Wildflower DrLytle, TX 78052-3955 · (210) 396-2732
Phone(210) 396-2732
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 3, 2011
Last NPPES UpdateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1295022804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 673498
462 WILDFLOWER DR, Lytle, TX 78052
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1400 N Harrison StAlpine, TX 79832-4403 · Phone (210) 396-2732
Location 24647 Medical DrSan Antonio, TX 78229-4403 · Phone (210) 358-5510

Other Identifiers 1

Other874N80TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. and more.Insurance ›

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

Craig Anthony Marshall Fnp-c 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 ID4587824859
PECOS Enrollment IDI20120323000022
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services46 patients

Hospital Affiliations CMS Care Compare

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

Laredo Medical Center

Acute Care Hospitals · Laredo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450029
Location1700 East SaundersLaredo, TX 78044 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78052 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

Other Providers at the Same Location NPPES

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

OPS MEDICAL GROUP LLC
Family Medicine
462 WILDFLOWER DR
LYTLE, TX 78052
Atascosa County (726) 800-9802

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 Craig Marshall's NPI number?

The NPI number for Craig Marshall is 1295022804. It was assigned to this individual provider in the NPPES registry on July 3, 2011.

Where is Craig Marshall located?

Craig Marshall practices at 462 Wildflower Dr, Lytle, TX 78052. The listed phone number is (210) 396-2732.

What is Craig Marshall's specialty?

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

Is Craig Marshall enrolled in Medicare?

Yes. Craig 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.

What insurance does Craig Marshall accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Craig 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 Craig Marshall affiliated with any hospitals?

According to CMS data, Craig Marshall is affiliated with Laredo Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Marshall was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.