ANNE KATHERINE MARSHALL (PA) – Physician Assistant, NPI 1922389089

ANNE KATHERINE MARSHALL (PA) is a healthcare provider. based in Champaign, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085004079 (IL). The NPI Number for ANNE KATHERINE MARSHALL (PA) is 1922389089

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ANNE KATHERINE MARSHALL (PA)
NPI
1922389089
Phone
(217) 383-3260
Address
1802 S Mattis Ave
Enumeration Date
2 September 2011
Last Update Date
31 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887122753
Graduation Year
2011 (15 years ago)
PAC ID
5294908976
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20111025000069
Address ID
IL618012501UR611XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for ANNE KATHERINE MARSHALL (PA)

  • 1802 S Mattis Ave

    Champaign, IL 618215923

    Phone: (217) 383-3260

    Fax: (217) 383-4459

    Type: Location

  • 611 W PARK ST

    FAPC

    URBANA, IL 61801

    Phone: (217) 902-5292

    Type: Mailing

  • 1000 MEDICAL CENTER DR

    MONTICELLO, IL 61856

    Phone: (217) 762-6241

    Fax: (217) 762-1702

    Type: Location

  • 1002 Medical Center Dr

    Monticello, IL 618562116

    Phone: (217) 762-2518

    Fax: (217) 762-5261

    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: 2011-10-25

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
I20111025000069IPhysician AssistantILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14992$0
99213Established patient office or other outpatient visit, 20-29 minutes4639$0
99215Established patient office or other outpatient visit, 40-54 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 61821)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
Nurse PractitionerIL
-FL
Nurse PractitionerIL
Nurse PractitionerIL
P O D I A T R YIL
Hospitalist, Family PracticeTX
-IL

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Frequently asked questions

Is ANNE KATHERINE MARSHALL (PA) listed with a National Provider Identifier?
Yes — ANNE KATHERINE MARSHALL (PA) has NPI 1922389089 on file in the registry.
Is there an active status for ANNE KATHERINE MARSHALL (PA)?
For scheduling context, ANNE KATHERINE MARSHALL (PA) is shown as active in the registry.
What kind of doctor is ANNE KATHERINE MARSHALL (PA)?
ANNE KATHERINE MARSHALL (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is ANNE KATHERINE MARSHALL (PA) associated with Champaign?
Public fields place ANNE KATHERINE MARSHALL (PA) around Champaign, Illinois. Always confirm the exact site before visiting.
Does ANNE KATHERINE MARSHALL (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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