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Active NPI 1295336642 Individual Practitioner Female Practitioner

Marlise Ann Webber , NP

Nurse Practitioner • South Bend, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Marlise Webber, NP is a certified Nurse Practitioner practicing in South Bend, IN. With approximately 6 years of clinical experience since completing medical education in 2020, Marlise Webber delivers high-quality medical care to the local community at 1815 E IRELAND RD.

Marlise Webber is affiliated with Beacon Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, x-ray of chest, 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1815 E Ireland Rd

South Bend, IN 466142845

Telephone 5746471750
Fax 5746471748
Associated Practice Facility / Clinic
🏢 Beacon Medical Group, Inc. Facility NPI 1124079330

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in South Bend, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -0.2 yrs vs City Avg
City Avg: 6.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
38 Specialists

Practicing in South Bend, IN (2620 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Webber (6 Years) 6 Yrs
South Bend Specialty Average (6.2 Years) 6.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
101 93 $192.00 $71.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
62 61 $274.00 $101.11
81003 Automated urinalysis test
18 17 $6.00 $2.20
71046 X-ray of chest, 2 views
17 17 $63.00 $20.98
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
12 12 $85.00 $40.55
94640 Inhalation treatment for airway obstruction or sputum production
11 11 $42.00 $6.05

Medical Specialties & State Licenses

CMS Verified: 2024-10-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71010638A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IN 28192631A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
300045313 (IN)

Hospital & Practice Group Affiliations

Beacon Medical Group Inc

1815 E Ireland Rd, South Bend, IN 466142845

Phone: 5746471700

Secondary Practice Locations

3301 County Road 6 E

Elkhart, IN 465147673

Phone: 5742665342

6913 N Main St

Granger, IN 465308039

Phone: 5746471500

2222 Rieth Blvd, Ste 100

Goshen, IN 465265869

Phone: 5748751200

206 W Warren St

Middlebury, IN 465409410

Phone: 5742379200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. John Reed , DO

Family Medicine

NPI 1063493765

Doctor of Osteopathic Medicine (D.O.)

NPI 1114125739

Doctor of Medicine (M.D.)

Dr. Zhaijun Fan , DO

Family Medicine

NPI 1124225578

Doctor of Osteopathic Medicine (D.O.)

Dr. Gary Sunada , MD

Family Medicine

NPI 1346224649

Doctor of Medicine (M.D.)

Dr. Edward Davis , MD

Family Medicine

NPI 1659369114

Doctor of Medicine (M.D.)

Angela Kay , PA

Physician Assistant

NPI 1801293634

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 20, 2023

Registered at 1815 E IRELAND RD, SOUTH BEND, IN 466142845 (Tel: 5746471750)

📍
Updated Business Mailing Address June 20, 2023

Registered at 3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 465301380 (Tel: 5746471840)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2023

Nurse Practitioner (License #28192631A in IN)

📍
Updated Business Mailing Address January 19, 2021

Registered at 200 HIGH PARK AVE, GOSHEN, IN 465264810 (Tel: 5743642888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2021

Nurse Practitioner (License #71010638A in IN)

NPI Profile Active November 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2020

Registered at 200 HIGH PARK AVE, GOSHEN, IN 465264810 (Tel: 5743642888)

📍
Updated Business Mailing Address November 03, 2020

Registered at 340 GOSHEN AVE, ELKHART, IN 465164508 (Tel: 5742386196)

👤
Provider Name / Credentials Updated November 03, 2020

Recorded as MARLISE WEBBER, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2020

Nurse Practitioner (License #28192631A in IN)

🟢
Initial NPI Registration & Enumeration November 03, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295336642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2020
Last Update: October 16, 2024
Sole Proprietor: No

Mailing Address

3245 Health Drive, Suite 100

Granger, IN 465301380

Phone: 5746471840

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.