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ETHEL ANNE MARSHALL PMHNP
NPI 1639950918
Nurse Practitioner - Psychiatric/Mental Health in Boise, ID

Active since October 11, 2023PECOS Enrolled
4614 N SAVANNAH LN, BOISE, ID 83714(208) 901-6691 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Jul 18, 2024, Jul 10, 2024, May 8, 2024 and 1 more (4 updates tracked since 2023).

About Ethel Anne Marshall Pmhnp NPPES

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

ETHEL ANNE MARSHALL PMHNP (NPI 1639950918) is an individual psychiatric/mental health provider in Boise, Idaho, licensed in Idaho (CNP-78682) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1639950918
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameETHEL ANNE MARSHALLCredential: PMHNP
Location Address4614 N SAVANNAH LNBoise, ID 83714-7405
Mailing Address4614 Savannah LnBoise, ID 83714-7405 · (208) 901-6691
Phone(208) 901-6691
Sole ProprietorYes
Enumeration DateOctober 11, 2023
Last NPPES UpdateJuly 18, 20244 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1639950918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in ID · CNP-78682✔ Licensed in ID · 78682
4614 N SAVANNAH LN, Boise, ID 83714
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Other Names 1

Professional Name (2)Anne Marshall Pmhnp

Secondary Practice Location 1

Location 1303 N Allumbaugh StBoise, ID 83704-9208 · Phone (208) 377-8400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethel Anne Marshall Pmhnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83714 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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 Ethel Marshall's NPI number?

The NPI number for Ethel Marshall is 1639950918. It was assigned to this individual provider in the NPPES registry on October 11, 2023. The provider is also known as Anne Marshall Pmhnp.

Where is Ethel Marshall located?

Ethel Marshall practices at 4614 N Savannah Ln, Boise, ID 83714. The listed phone number is (208) 901-6691.

What is Ethel Marshall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ethel Marshall enrolled in Medicare?

Yes. Ethel Marshall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethel Marshall was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.