JASON LYNN MARSH (AGPCNP-BC) – Gerontology Nurse Practitioner, NPI 1639834575

JASON LYNN MARSH (AGPCNP-BC) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. 71011767A (IN). The NPI Number for JASON LYNN MARSH (AGPCNP-BC) is 1639834575

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JASON LYNN MARSH (AGPCNP-BC)
NPI
1639834575
Phone
Not provided
Address
PO BOX 735377
Enumeration Date
4 November 2021
Last Update Date
21 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3179231518
Graduation Year
2021 (5 years ago)
PAC ID
7012306327
Group Practice PAC ID
4587968862
Professional Enrollment ID
I20211108000867
Address ID
IN462222272IN2640XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for JASON LYNN MARSH (AGPCNP-BC)

  • PO BOX 735377

    CHICAGO, IL 606735377

    Phone:

    Type: Mailing

  • 2640 COLD SPRING RD

    INDIANAPOLIS, IN 462222272

    Phone: (317) 634-8330

    Type: Location

  • PO BOX 10299

    FORT WAYNE, IN 468510299

    Phone: (574) 546-1900

    Fax: (574) 546-1999

    Type: Mailing

  • 2100 N MAIN ST # 304

    CROWN POINT, IN 463071877

    Phone: (574) 546-1900

    Fax: (574) 546-1999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211108000867INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,648104$0
99497Advance care planning, first 30 minutes18892$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes14680$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4634$0
99315Nursing facility discharge day management, 30 minutes or less1212$0
View full utilization report →

Insurance plans in this area (ZIP 60673)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587968862View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerIN
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerGA
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up JASON LYNN MARSH (AGPCNP-BC) by NPI?
Use NPI 1639834575 when you need to reference JASON LYNN MARSH (AGPCNP-BC) in forms, claims, or directories.
Is JASON LYNN MARSH (AGPCNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JASON LYNN MARSH (AGPCNP-BC) list a primary specialty?
If you are matching referrals, note Gerontology Nurse Practitioner for JASON LYNN MARSH (AGPCNP-BC). Clinical services aligned with this taxonomy classification.
Where does public data place JASON LYNN MARSH (AGPCNP-BC)?
The snapshot lists Chicago, Illinois for JASON LYNN MARSH (AGPCNP-BC); download NPPES for the complete set.
Is JASON LYNN MARSH (AGPCNP-BC) a real provider?
This page reflects official NPPES data for NPI 1639834575. Always confirm identity and privileges with the practice and licensing boards.

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