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MARSHALL MEDICAL CENTER
NPI 1558645820
Surgery in Placerville, CA

Active since October 05, 2011
1095 MARSHALL WAY, SUITE 202, PLACERVILLE, CA 95667(530) 626-1102 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2026, Sep 8, 2020 (2 updates tracked since 2020).

About Marshall Medical Center NPPES

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

MARSHALL MEDICAL CENTER (NPI 1558645820) is a healthcare organization registered as a surgery in Placerville, California and active in the NPI registry since October 2011. The organization lists Siri Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558645820
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMARSHALL MEDICAL CENTER
Location Address1095 MARSHALL WAY, SUITE 202Placerville, CA 95667-5722
Mailing AddressPo Box 45680San Francisco, CA 94145-0680 · (530) 626-1102
Phone(530) 626-1102
Organization SubpartNo
Authorized OfficialSiri NelsonCeo · (530) 622-1441
Enumeration DateOctober 5, 2011
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1558645820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1095 MARSHALL WAY, Placerville, CA 95667
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Other Names 1

Other NameMarshall General Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marshall Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

149

Medicare enrollment records show 149 clinicians reassign Medicare billing to Marshall Medical Center, which bills Medicare for the services they deliver. Of these, 56 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Nurse Practitioner27
Obstetrics/Gynecology17
Internal Medicine15
Family Practice13
General Surgery9
Cardiovascular Disease (Cardiology)8
Hematology/Oncology8
Hospitalist7
16 other specialties45

Nearest to this location (20)

See all 149
Jennifer Commins, FNP
Nurse Practitioner
NPI 1992694897
1095 MARSHALL WAY STE 100
Placerville, CA 95667
(530) 626-2920
✔ PECOS✔ Accepts Medicare0.1 mi
Wendy Rosencrans Wells, NP
Nurse Practitioner
NPI 1942477575
1095 MARSHALL WAY # 100
Placerville, CA 95667
(530) 626-2920
✔ PECOS✔ Accepts Medicare0.1 mi
Kristin Sornborger, RN, FNP
Nurse Practitioner
NPI 1740407071
1095 MARSHALL WAY # 100
Placerville, CA 95667
(530) 626-2920
✔ PECOS✔ Accepts Medicare0.1 mi
Scott Yoder, M.D., F.A.C.C.
Cardiovascular Disease (Cardiology)
NPI 1770591539
1004 FOWLER WAY STE 4
Placerville, CA 95667
(530) 626-9488
✔ PECOS✔ Accepts Medicare0.1 mi
Lena Avedissian, MD
Cardiovascular Disease (Cardiology)
NPI 1215985494
1004 FOWLER WAY SUITE 4
Placerville, CA 95667
(530) 626-9488
✔ PECOS✔ Accepts Medicare0.1 mi
Ravi Chopra, MD
Pulmonary Disease
NPI 1801059472
1004 FOWLER WAY STE 4
Placerville, CA 95667
(530) 626-9488
✔ PECOS✔ Accepts Medicare0.1 mi
Stanley Henjum, M.D.
Cardiovascular Disease (Cardiology)
NPI 1144200486
1004 FOWLER WAY #4
Placerville, CA 95667
(530) 626-9488
✔ PECOS✔ Accepts Medicare0.1 mi
Olena Lineberry, M.D.
Critical Care (Intensivists)
NPI 1093987364
1004 FOWLER WAY STE 4
Placerville, CA 95667
(530) 626-9488
✔ PECOS✔ Accepts Medicare0.1 mi
Alexander Massey, M.D.
Pulmonary Disease
NPI 1851463343
1004 FOWLER WAY STE 4
Placerville, CA 95667
(530) 626-9488
✔ PECOS✔ Accepts Medicare0.1 mi
Leanne Camisa, M.D.
Family Practice
NPI 1124081377
1095 MARSHALL WAY
Placerville, CA 95667
(530) 626-2920
✔ PECOS✔ Accepts Medicare0.2 mi
Mukesh Mungalpara, M.D.
Internal Medicine
NPI 1124029673
1095 MARSHALL WAY
Placerville, CA 95667
(530) 626-2920
✔ PECOS✔ Accepts Medicare0.2 mi
Harchitwant Bhinder, MD
Internal Medicine
NPI 1972786911
1100 MARSHALL WAY
Placerville, CA 95667
(530) 622-1441
✔ PECOS✔ Accepts Medicare0.2 mi
Joshua Seastrand, DO
Hospitalist
NPI 1649704388
1100 MARSHALL WAY
Placerville, CA 95667
(530) 626-2787
✔ PECOS✔ Accepts Medicare0.2 mi
Mohammed Siddiqi, MD
Hospitalist
NPI 1003933094
1100 MARSHALL WAY
Placerville, CA 95667
(530) 622-1441
✔ PECOS✔ Accepts Medicare0.2 mi
Courtnie Billett, M.D.
Family Practice
NPI 1427287077
1095 MARSHALL WAY
Placerville, CA 95667
(530) 626-2920
✔ PECOS✔ Accepts Medicare0.2 mi
Richard Detwiler, M.D.
General Surgery
NPI 1912949850
1095 MARSHALL WAY SUITE 202
Placerville, CA 95667
(530) 626-3682
✔ PECOS✔ Accepts Medicare0.2 mi
Grant Gwinup, MD
Emergency Medicine
NPI 1669463964
1095 MARSHALL WAY STE 203
Placerville, CA 95667
(530) 344-5496
✔ PECOS✔ Accepts Medicare0.2 mi
Delandy Mcconnell, D.O.
General Surgery
NPI 1639521560
1095 MARSHALL WAY STE 202
Placerville, CA 95667
(530) 626-3682
✔ PECOS✔ Accepts Medicare0.2 mi
Rubeal Mann, M.D.
Emergency Medicine
NPI 1093995904
1100 MARSHALL WAY
Placerville, CA 95667
(530) 622-1441
✔ PECOS✔ Accepts Medicare0.2 mi
Evgenia Polosina, M.D.
Obstetrics/Gynecology
NPI 1962817270
1095 MARSHALL WAY STE 100
Placerville, CA 95667
(530) 344-5470
✔ PECOS✔ Accepts Medicare0.2 mi
See all 149 clinicians

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

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 Marshall Medical Center's NPI number?

The NPI number for Marshall Medical Center is 1558645820. It was assigned to this organization in the NPPES registry on October 5, 2011. The provider is also known as Marshall General Surgery.

Where is Marshall Medical Center located?

Marshall Medical Center is located at 1095 Marshall Way Suite 202, Placerville, CA 95667. The listed phone number is (530) 626-1102.

What is Marshall Medical Center's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Marshall Medical Center enrolled in Medicare?

Yes. Marshall Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marshall Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 149 clinicians in 24 Medicare specialties reassign their Medicare billing to Marshall Medical Center. A 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 the clinician's services. The largest specialties are Nurse Practitioner (27), Obstetrics/Gynecology (17) and Internal Medicine (15). Of these, 56 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marshall Medical Center was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.