MCKINLEY MARSEILLE (APRN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1700556776

MCKINLEY MARSEILLE (APRN, CRNA) is a healthcare provider. based in Pontiac, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials APRN, CRNA. They hold a License No. 28268295A (IN). The NPI Number for MCKINLEY MARSEILLE (APRN, CRNA) is 1700556776

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MCKINLEY MARSEILLE (APRN, CRNA)
NPI
1700556776
Phone
(815) 842-2828
Address
2500 W REYNOLDS ST
Enumeration Date
20 September 2021
Last Update Date
5 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3136379861
Graduation Year
2021 (5 years ago)
PAC ID
2961898911
Group Practice PAC ID
3779832530
Professional Enrollment ID
I20220331001018
Address ID
IN477140805EV4411XAVEX302

Contacts

Secure Messaging
mxmars18@smumn.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness95
Years active:4State licenses:2Other names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for MCKINLEY MARSEILLE (APRN, CRNA)

  • 2500 W REYNOLDS ST

    PONTIAC, IL 617649774

    Phone: (815) 842-2828

    Type: Mailing

  • 8701 Broadway

    Merrillville, IN 464107035

    Phone: (219) 738-5500

    Type: Location

  • 20487 ABBEY DR

    FRANKFORT, IL 604233149

    Phone: (708) 724-6766

    Type: Mailing

  • 8701 BROADWAY

    MERRILLVILLE, IN 464107035

    Phone: (219) 738-5500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$16
View all Open Payments →|Open Payments Risk Radar →

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: 2024-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220331001018ICertified Registered Nurse Anesthetist (Crna)INTBD
I20240911000721ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3232$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2928$0
00813Anesthesia for procedure on small and large bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 61764)

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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: 3779832530View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Interventional Pain Management, AnesthesiologyMI
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NY
Anesthesiology, Interventional Pain ManagementFL
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

How do payers reference MCKINLEY MARSEILLE (APRN, CRNA)?
For MCKINLEY MARSEILLE (APRN, CRNA), use NPI 1700556776 as the unique 10-digit identifier.
Active or inactive — what applies to MCKINLEY MARSEILLE (APRN, CRNA)?
You should see MCKINLEY MARSEILLE (APRN, CRNA) as active in CMS-hosted NPPES data.
What area of care is associated with MCKINLEY MARSEILLE (APRN, CRNA)?
MCKINLEY MARSEILLE (APRN, CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with MCKINLEY MARSEILLE (APRN, CRNA)?
Directory geography for MCKINLEY MARSEILLE (APRN, CRNA) centers on Pontiac, Illinois.
When was this NPI issued?
Enumeration for MCKINLEY MARSEILLE (APRN, CRNA) is noted as September 20, 2021 where the registry provides it.

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