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TAMARA ROSE MARSHALL FNP-BC
NPI 1730642109
Nurse Practitioner in Charlotte, NC

Active since April 11, 2019PECOS Enrolled
15825 BALLANTYNE MEDICAL PL STE 220, CHARLOTTE, NC 28277(704) 316-2930(704) 316-2938 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2024, May 5, 2021, Oct 26, 2020 and 2 more (5 updates tracked since 2019).

About Tamara Rose Marshall Fnp-bc NPPES

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

TAMARA ROSE MARSHALL FNP-BC (NPI 1730642109) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5011651) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Shallotte.

NPPES Registry Identity

NPI1730642109
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAMARA ROSE MARSHALLCredential: FNP-BC
Location Address15825 BALLANTYNE MEDICAL PL STE 220Charlotte, NC 28277-4790
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 316-2930
Fax(704) 316-2938
Sole ProprietorNo
Enumeration DateApril 11, 2019
Last NPPES UpdateSeptember 9, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1730642109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5011651
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
15825 BALLANTYNE MEDICAL PL STE 220, Charlotte, NC 28277
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Secondary Practice Location 1

Location 1204 Smith AveShallotte, NC 28470-4458 · Phone (910) 721-4230 · Fax (910) 721-4239

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara Rose Marshall Fnp-bc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tamara Marshall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
0.5 mi
Sports Medicine
14214 BALLANTYNE LAKE RD, STE 150
Charlotte, NC 28277
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1386991297 (704) 863-4878
Star Medical Clinic PLLC
198 mi
General Practice
461 WESTERN BLVD STE 122
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 27 clinicians in this Medicare group
NPI 1033565007 (910) 333-0283

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

Areas of Expertise CMS Part B claims 2

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.
29 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28277 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers16 claims197 services$17.37 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers16 claims480 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
35 suppliers91 claims377 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers26 claims60 services$1.10 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers33 claims33 services$302.96 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
6 suppliers22 claims1,850 services$7.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MRS. VICTORIA BOUHAIRIE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15825 BALLANTYNE MEDICAL PL STE 220
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-2930

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 Tamara Marshall's NPI number?

The NPI number for Tamara Marshall is 1730642109. It was assigned to this individual provider in the NPPES registry on April 11, 2019.

Where is Tamara Marshall located?

Tamara Marshall practices at 15825 Ballantyne Medical Pl Ste 220, Charlotte, NC 28277. The listed phone number is (704) 316-2930.

What is Tamara Marshall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tamara Marshall enrolled in Medicare?

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

Which organizations bill Medicare for Tamara Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Marshall reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Charlotte, NC) and Star Medical Clinic PLLC (Jacksonville, NC). 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 Tamara Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tamara 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 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.