MARY L MARSHALL APN
NPI 1770030801
Nurse Practitioner in Rockford, IL

Q: What is Mary Marshall's NPI number?

The NPI number for Mary Marshall is 1770030801. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Q: What is Mary Marshall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Marshall was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 07, 2016PECOS EnrolledAccepts Medicare Assignment

1340 CHARLES ST, SUITE 300, ROCKFORD, IL 61104(779) 696-5888 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary L Marshall Apn NPPES

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

MARY L MARSHALL APN (NPI 1770030801) is an individual nurse practitioner in Rockford, Illinois, licensed in Illinois (209-014991) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770030801

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY L MARSHALLCredential: APN

Location Address1340 CHARLES ST, SUITE 300Rockford, IL 61104-2200

Mailing AddressPo Box 1567Rockford, IL 61110-0067

Phone(779) 696-5888

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 7, 2016

Last NPPES UpdateOctober 21, 2016

✔ NPI 1770030801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209-014991

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 041343459 (IL)

1340 CHARLES ST, Rockford, IL 61104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, 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

Mary L Marshall Apn 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 ID3476831579

PECOS Enrollment IDI20161025000117

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 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 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.

535 services454 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140012

Location403 E 1st StDixon, IL 61021 · Lee County

Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140110

Location1100 E Norris DriveOttawa, IL 61350 · La Salle County

Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140233

Location5666 East State StreetRockford, IL 61108 · Winnebago County

Emergency services Birthing friendly

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number141310

Location1401 E 12th StreetMendota, IL 61342 · La Salle County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 20

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

MS. REBEKAH D MEYERS PT

Physical Therapist

1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104

Winnebago County (815) 399-1975

KELLY S. RASMUSSEN NP

Nurse Practitioner

1340 CHARLES ST
ROCKFORD, IL 61104

Winnebago County (779) 696-5888

MS. KATHLEEN EDNA WILLIAMS APRN

Nurse Practitioner

1340 CHARLES ST, STE 201
ROCKFORD, IL 61104

Winnebago County (779) 696-8799

DR. STEVEN MILOS M.D.

Orthopaedic Surgery (Sports Medicine)

1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104

Winnebago County (779) 696-1900

JOHN RUSSELL

Nurse Practitioner

1340 CHARLES ST, SUITE 300
ROCKFORD, IL 61104

Winnebago County (779) 696-8800

SIRIVANH PHOMVANSI GAMEZ P.T.

Physical Therapist

1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104

Winnebago County (815) 399-1975

THOMAS J DANAHER MD

Orthopaedic Surgery

1340 CHARLES ST, STE 100
ROCKFORD, IL 61104

Winnebago County (779) 696-1900

DREW W PEARSON APN

Nurse Practitioner

1340 CHARLES ST
ROCKFORD, IL 61104

Winnebago County (779) 696-8700

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 Mary Marshall's NPI number?

The NPI number for Mary Marshall is 1770030801. It was assigned to this individual provider in the NPPES registry on September 7, 2016.

Where is Mary Marshall located?

Mary Marshall practices at 1340 Charles St Suite 300, Rockford, IL 61104. The listed phone number is (779) 696-5888.

What is Mary Marshall's specialty?

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

Is Mary Marshall enrolled in Medicare?

Yes. Mary 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 Mary Marshall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Mary 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 Mary Marshall affiliated with any hospitals?

According to CMS data, Mary Marshall is affiliated with Katherine Shaw Bethea Hospital, Osf Saint Elizabeth Mdl Ctr, Saint Anthony Medical Center and Osf Saint Paul Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Marshall was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.