MARCELLE BOTHA (NP-C) – Nurse Practitioner, NPI 1790345536

MARCELLE BOTHA (NP-C) is a healthcare provider. based in Lincoln, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 112804 (NE). The NPI Number for MARCELLE BOTHA (NP-C) is 1790345536

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARCELLE BOTHA (NP-C)
NPI
1790345536
Phone
(308) 991-7494
Address
4531 GERTIE AVE
Enumeration Date
14 June 2019
Last Update Date
23 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
3088652600
Graduation Year
2019 (7 years ago)
PAC ID
5294061131
Group Practice PAC ID
4789098443
Professional Enrollment ID
I20190730002439
Address ID
NE688472949KE3219XAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

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Provider Addresses for MARCELLE BOTHA (NP-C)

  • 4531, Gertie Avenue, College View, Lincoln, Lancaster County, Nebraska, 68516, United States

    LINCOLN, NE 685161739

    Phone: (308) 991-7494

    Type: Mailing

  • 215, McNeel Lane, North Platte, Lincoln County, Nebraska, 69101, United States

    NORTH PLATTE, NE 691016054

    Phone: (308) 568-3800

    Type: Location

  • 1008 W 48TH ST

    KEARNEY, NE 688451243

    Phone: (308) 991-7494

    Type: Mailing

  • 10 E 31ST ST

    KEARNEY, NE 688472908

    Phone: (308) 865-7100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Amgen Inc. ($90).

Total Amount

$284

General + Research + Ownership

Payments

13

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2024-08-23

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
I20190730002439INurse PractitionerNETBD
I20240823000744INurse PractitionerKSTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes151129$0
J1040Injection, methylprednisolone acetate, 80 mg9770$0
20610Aspiration and/or injection of fluid from large joint9280$0
99204New patient office or other outpatient visit, 45-59 minutes5252$0
99212Established patient office or other outpatient visit, 10-19 minutes3433$0
View full utilization report →

Insurance plans in this area (ZIP 68516)

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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: 4789098443View full group profile
NameSpecialtyState
H O S P I T A L I S TNE
H O S P I T A L I S TNE
Physician AssistantNE
Interventional Cardiology, Cardiovascular Disease (Cardiology)NE
Physical Medicine And RehabilitationNE
N E U R O S U R G E R YNY
Nurse PractitionerNE
Hospitalist, Family PracticeNE
Hospitalist, Family PracticeNE
Internal Medicine, Interventional Cardiology, Cardiovascular Disease (Cardiology)NE

Reviews

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Frequently asked questions

What is MARCELLE BOTHA (NP-C)'s NPI number?
MARCELLE BOTHA (NP-C)'s NPI is 1790345536 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MARCELLE BOTHA (NP-C)?
You should see MARCELLE BOTHA (NP-C) as active in CMS-hosted NPPES data.
What area of care is associated with MARCELLE BOTHA (NP-C)?
MARCELLE BOTHA (NP-C)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARCELLE BOTHA (NP-C) associated with Lincoln?
Public fields place MARCELLE BOTHA (NP-C) around Lincoln, Nebraska. Always confirm the exact site before visiting.
Can I trust this NPI listing for MARCELLE BOTHA (NP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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