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MR. MICHAEL DENNIS MARSHALL CRNP
NPI 1508083403
Nurse Practitioner - Family in Mc Kees Rocks, PA

Active since April 20, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
500 PINE HOLLOW RD, MC KEES ROCKS, PA 15136(412) 250-2600(412) 250-0200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Dennis Marshall Crnp NPPES

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

MR. MICHAEL DENNIS MARSHALL CRNP (NPI 1508083403) is an individual family provider in Mc Kees Rocks, Pennsylvania, licensed in Pennsylvania (SP008982) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1508083403
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MICHAEL DENNIS MARSHALLCredential: CRNP
Location Address500 PINE HOLLOW RDMc Kees Rocks, PA 15136-1683
Mailing Address500 Pine Hollow RdMc Kees Rocks, PA 15136-1683 · (412) 250-2600 · Fax (412) 250-0200
Phone(412) 250-2600
Fax(412) 250-0200
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508083403 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 PA · SP008982
500 PINE HOLLOW RD, Mc Kees Rocks, PA 15136
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Mr. Michael Dennis Marshall Crnp 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 ID6305986902
PECOS Enrollment IDI20091211000477
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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
456 services108 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
308 services83 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
96 services85 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
49 services43 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
27 services15 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
23 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15136 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 9

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

OHIO VALLEY ANESTHESIA PAIN MANAGEMENT INC
Pain Medicine (Pain Medicine)
500 PINE HOLLOW RD
MC KEES ROCKS, PA 15136
Allegheny County (412) 777-6400
KELLI LYNNE KIRSCH
Pharmacist
500 PINE HOLLOW RD
MC KEES ROCKS, PA 15136
Allegheny County (412) 771-6366
JENNIFER A SIMONETTI RPH
Pharmacist
500 PINE HOLLOW RD
MC KEES ROCKS, PA 15136
Allegheny County (412) 771-6366
JALIT TUCHINDA, M.D., P.C.
Non-Pharmacy Dispensing Site
500 PINE HOLLOW RD
MC KEES ROCKS, PA 15136
Allegheny County (412) 771-6003
HEALTHTRONIX LYMPHEDEMA MANAGEMENT, INC.
Durable Medical Equipment & Medical Supplies
500 PINE HOLLOW RD
MC KEES ROCKS, PA 15136
Allegheny County (412) 771-4800
JALIT TUCHINDA M.D., PC
Specialist
500 PINE HOLLOW RD
MC KEES ROCKS, PA 15136
Allegheny County (412) 771-6003
OHIO VALLEY PROFESSIONAL SERVICES
General Practice
500 PINE HOLLOW RD
MC KEES ROCKS, PA 15136
Allegheny County (412) 250-2600
KANCHANA TUCHINDA M.D.
Specialist
500 PINE HOLLOW RD
MC KEES ROCKS, PA 15136
Allegheny County (412) 771-6003

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 Michael Marshall's NPI number?

The NPI number for Michael Marshall is 1508083403. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Michael Marshall located?

Michael Marshall practices at 500 Pine Hollow Rd, Mc Kees Rocks, PA 15136. The listed phone number is (412) 250-2600.

What is Michael Marshall's specialty?

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

Is Michael Marshall enrolled in Medicare?

Yes. Michael 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 Michael Marshall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael 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 Michael Marshall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.