Provider Profile

Marina Deatherage

Unclaimed Profile

About Marina Deatherage

Marina Deatherage is a nurse practitioner practicing in Lake Geneva, WI. Marina is also listed as specializing in nurse practitioner — family. According to Medicare claims data, Marina cared for 118 Medicare patients across 120 services. The services billed most often include established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more, new patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more. This provider record is associated with NPI 1538706858.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2019

Specialty

Nurse Practitioner (Primary)

Credentials & Licensing

WI licenceAs reported to the NPI registry
No. 10857-033As reported
IL licenceAs reported to the NPI registry
No. 209020317As reported
NPINational Provider Identifier
1538706858Issued 2019

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Marina Deatherage's specialty?

Marina Deatherage is a nurse practitioner in Lake Geneva, WI. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Marina Deatherage?

Marina Deatherage is listed at 146 E Geneva Sq, Lake Geneva, WI 53147. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Marina Deatherage?

The number on file is (262) 249-4660. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Marina Deatherage's NPI number?

Marina Deatherage's National Provider Identifier is 1538706858. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Marina Deatherage's education?

Marina Deatherage attended Other, graduating in 2019. This comes from the CMS National Downloadable File.

CMS public data

How long has Marina Deatherage been practicing?

Marina Deatherage has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.

CMS public data

What is Marina Deatherage known for?

According to Medicare billing data, Marina Deatherage provides treatments such as inhalation treatment for airway obstruction or sputum production, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Marina Deatherage confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Marina Deatherage. If this is you, claiming it is free.

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