Kelly Marcum, NP

ActiveIndividual ProviderNurse Practitioner
NPI issued: June 22, 2005

Quick Facts

NPI Number
1619973930
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LF0000X — Nurse Practitioner
Phone
(928) 536-3616
StateAZ

NPI Validation Status: Verified

Valid 10-digit NPI number (1619973930)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 22, 2005)
Data source: CMS NPPES

Provider Overview

KELLY MARCUM, NP is a Nurse Practitioner provider based in Overgaard, AZ who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1619973930
Provider TypeIndividual Provider
GenderMale
CredentialNP
StatusActive
Enumeration DateJune 22, 2005

Practice Location

CityOvergaard
StateAZ
ZIP Code85933
Phone(928) 536-3616

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LF0000X
License StateAZ

Mailing Address

CityOvergaard
StateAZ
ZIP Code85933
Phone(928) 536-3616
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1619973930 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1619973930for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1619973930 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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224,221
Nurse Practitioner Providers in the US

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People Also Ask

What is Kelly Marcum's NPI number?
Kelly Marcum's NPI number is 1619973930, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kelly Marcum's NPI currently active?
Yes, Kelly Marcum's NPI status is Active as of the latest CMS NPPES database updates.
What does Kelly Marcum specialize in?
Kelly Marcum specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LF0000X.
Where does Kelly Marcum practice?
Kelly Marcum practices in Overgaard, AZ 85933.
When was Kelly Marcum's NPI issued?
Kelly Marcum's NPI was issued on June 22, 2005.
What is Kelly Marcum's provider type?
Kelly Marcum is registered as an Individual Provider under CMS NPI Type 1.