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Chamelle Jan March, GNP

(Chamelle March, GNP-BC)

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Specializes in: Physiatry (Physical Medicine & Rehabilitation)

Professional interests include: osteopenia (low bone density), stroke, osteoporosis, and more.

315 Business Loop 70 West
Columbia, MO 65203-3248

(573) 884-0033

Chamelle Jan March, GNP is a nurse in Columbia, MO specializing in physiatry (physical medicine & rehabilitation). Chamelle Jan March, GNP is affiliated with University of Missouri Health Care, Physical Medicine and Rehabilitation Clinic and THE CURATORS OF THE UNIVERSITY OF MISSOURI.

Office Locations

315 Business Loop 70 West
Columbia, MO 65203-3248

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University of Missouri Health Care

315 Business Loop 70 W
Columbia, MO

(573) 884-0033

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Some issues Chamelle Jan March, GNP can help you with:

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO during 2012 were hospital care and inpatient care.

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

doctor visit	257
hospital care	300
inpatient care	300

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO during 2013 were hospital care and inpatient care.

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

doctor visit	258
hospital care	264
inpatient care	264

2013 Medicare Patient Data

Information about Medicare patients treated by Chamelle Jan March, GNP.

**Gender**
Male	138
Female	113

**Ethnicity**
Non-Hispanic White	227
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	74
From 75 to 84	53
85 and over	13
Less than 65	111

Conditions of Medicare patients treated by Chamelle Jan March, GNP in 2013

Hypertension	75
High Cholesterol	62
Stroke	37
Ischemic Heart Disease	48
Depression	62
Chronic Kidney Disease	36
Asthma	8
Osteoperosis	10
Atrial Fibrilation	16
Heart Failure	29
Chronic Obstructive Pulmonary Disease	28
Diabetes	43
Dementia	16
Cancer	7

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO during 2014 were hospital care and inpatient care.

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

doctor visit	197
hospital care	305
inpatient care	305

2014 Medicare Patient Data

Information about Medicare patients treated by Chamelle Jan March, GNP.

**Gender**
Male	131
Female	104

**Ethnicity**
Non-Hispanic White	209
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	91
From 75 to 84	35
85 and over	15
Less than 65	94

Conditions of Medicare patients treated by Chamelle Jan March, GNP in 2014

Hypertension	75
High Cholesterol	64
Stroke	45
Ischemic Heart Disease	42
Depression	62
Chronic Kidney Disease	30
Asthma	9
Osteoperosis	7
Atrial Fibrilation	17
Heart Failure	28
Chronic Obstructive Pulmonary Disease	26
Diabetes	45
Dementia	21
Cancer	9

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO during 2015 were hospital care and inpatient care.

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

doctor visit	235
hospital care	327
inpatient care	327

2015 Medicare Patient Data

Information about Medicare patients treated by Chamelle Jan March, GNP.

**Gender**
Male	286
Female	252

**Ethnicity**
Non-Hispanic White	488
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	168
From 75 to 84	120
85 and over	42
Less than 65	208

Conditions of Medicare patients treated by Chamelle Jan March, GNP in 2015

Hypertension	75
High Cholesterol	66
Stroke	48
Ischemic Heart Disease	47
Depression	56
Chronic Kidney Disease	40
Asthma	19
Osteoperosis	14
Atrial Fibrilation	16
Heart Failure	32
Chronic Obstructive Pulmonary Disease	28
Diabetes	42
Dementia	20
Cancer	9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO during 2016 were hospital care and inpatient care.

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

doctor visit	237
hospital care	263
inpatient care	263

2016 Medicare Patient Data

Information about Medicare patients treated by Chamelle Jan March, GNP.

**Gender**
Male	115
Female	100

**Ethnicity**
Non-Hispanic White	189
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	64
From 75 to 84	39
85 and over	15
Less than 65	97

Conditions of Medicare patients treated by Chamelle Jan March, GNP in 2016

Hypertension	75
High Cholesterol	64
Stroke	39
Ischemic Heart Disease	46
Depression	54
Chronic Kidney Disease	43
Asthma	26
Osteoperosis	8
Atrial Fibrilation	13
Heart Failure	28
Chronic Obstructive Pulmonary Disease	22
Diabetes	42
Dementia	26
Cancer	6

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO during 2017 were hospital care and inpatient care.

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

doctor visit	207
hospital care	371
inpatient care	371

2017 Medicare Patient Data

Information about Medicare patients treated by Chamelle Jan March, GNP.

**Gender**
Male	139
Female	103

**Ethnicity**
Non-Hispanic White	217
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	85
From 75 to 84	52
85 and over	15
Less than 65	90

Conditions of Medicare patients treated by Chamelle Jan March, GNP in 2017

Hypertension	75
High Cholesterol	65
Stroke	45
Ischemic Heart Disease	46
Depression	52
Chronic Kidney Disease	50
Asthma	6
Osteoperosis	8
Atrial Fibrilation	18
Heart Failure	34
Chronic Obstructive Pulmonary Disease	24
Diabetes	46
Dementia	26
Cancer	10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO during 2018 were hospital care and inpatient care.

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

doctor visit	239
hospital care	613
inpatient care	613

2018 Medicare Patient Data

Information about Medicare patients treated by Chamelle Jan March, GNP.

**Gender**
Male	142
Female	101

**Ethnicity**
Non-Hispanic White	215
Black	14
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	81
From 75 to 84	50
85 and over	14
Less than 65	98

Conditions of Medicare patients treated by Chamelle Jan March, GNP in 2018

Hypertension	75
High Cholesterol	68
Stroke	45
Ischemic Heart Disease	47
Depression	50
Chronic Kidney Disease	52
Asthma	5
Osteoperosis	9
Atrial Fibrilation	18
Heart Failure	31
Chronic Obstructive Pulmonary Disease	23
Diabetes	48
Dementia	22
Cancer	7

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO during 2019 were hospital care and inpatient care.

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

doctor visit	183
hospital care	388
inpatient care	388

2019 Medicare Patient Data

Information about Medicare patients treated by Chamelle Jan March, GNP.

**Gender**
Male	136
Female	79

**Ethnicity**
Non-Hispanic White	187
Black	16
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	74
From 75 to 84	50
85 and over	11
Less than 65	80

Conditions of Medicare patients treated by Chamelle Jan March, GNP in 2019

Hypertension	75
High Cholesterol	67
Stroke	46
Ischemic Heart Disease	50
Depression	51
Chronic Kidney Disease	52
Asthma	6
Osteoperosis	9
Atrial Fibrilation	19
Heart Failure	33
Chronic Obstructive Pulmonary Disease	19
Diabetes	53
Dementia	15
Cancer	0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO during 2020 were hospital care and inpatient care.

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

doctor visit	189
hospital care	167
inpatient care	167

2020 Medicare Patient Data

Information about Medicare patients treated by Chamelle Jan March, GNP.

**Gender**
Male	116
Female	91

**Ethnicity**
Non-Hispanic White	182
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	69
From 75 to 84	47
85 and over	13
Less than 65	78

Conditions of Medicare patients treated by Chamelle Jan March, GNP in 2020

Hypertension	75
High Cholesterol	65
Stroke	33
Ischemic Heart Disease	42
Depression	48
Chronic Kidney Disease	47
Asthma	0
Osteoperosis	14
Atrial Fibrilation	20
Heart Failure	35
Chronic Obstructive Pulmonary Disease	18
Diabetes	46
Dementia	15
Cancer	7

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO during 2021 were hospital care and inpatient care.

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

doctor visit	235
hospital care	72
inpatient care	72

2021 Medicare Patient Data

Information about Medicare patients treated by Chamelle Jan March, GNP.

**Gender**
Male	132
Female	84

**Age**
From 65 to 74	77
From 75 to 84	54
85 and over	12
Less than 65	73

Conditions of Medicare patients treated by Chamelle Jan March, GNP in 2021

Hypertension	75
High Cholesterol	65
Stroke	36
Ischemic Heart Disease	47
Depression	44
Chronic Kidney Disease	51
Asthma	0
Osteoperosis	13
Atrial Fibrilation	25
Heart Failure	36
Chronic Obstructive Pulmonary Disease	19
Diabetes	45
Dementia	17
Cancer	11

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO during 2022 were hospital care and inpatient care.

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

doctor visit	189
hospital care	99
inpatient care	99

2022 Medicare Patient Data

Information about Medicare patients treated by Chamelle Jan March, GNP.

**Gender**
Male	111
Female	84

**Ethnicity**
Non-Hispanic White	180
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	80
From 75 to 84	49
85 and over	12
Less than 65	54

Conditions of Medicare patients treated by Chamelle Jan March, GNP in 2022

Hypertension	75
High Cholesterol	72
Stroke	46
Ischemic Heart Disease	37
Depression	43
Chronic Kidney Disease	33
Asthma	6
Osteoperosis	16
Atrial Fibrilation	32
Heart Failure	32
Chronic Obstructive Pulmonary Disease	18
Diabetes	47
Dementia	10
Cancer	11

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Chamelle Jan March, GNP for Medicare patients.

The highest averages for the top procedures that Chamelle Jan March, GNP treated as a nurse in Columbia, MO were hospital care and inpatient care.

doctor visit	220
hospital care	288
inpatient care	288

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Chamelle Jan March, GNP.

**Gender**
Male	131
Female	101

**Ethnicity**
Black / African American	2
Asian / Pacific Islander	0
Non-Hispanic White	190
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	49
85 and over	14
Less than 65	89
65 to 74	78

Average of Total of Conditions of Medicare patients treated by Chamelle Jan March, GNP From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Chamelle Jan March, GNP treated were hypertension, high cholesterol, depression and diabetes.

Hypertension	68
High Cholesterol	59
Stroke	38
Ischemic Heart Disease	41
Depression	47
Chronic Kidney Disease	39
Asthma	7
Osteoporosis	9
Heart Failure	28
Chronic Obstructive Pulmonary Disease	20
Diabetes	41
Atrial Fibrillation	17
Dementia	17
Cancer	7

Education & Training

She has a state license in Missouri.

Licensed In: Missouri

Affiliations & Hospitals

Chamelle Jan March, GNP is associated with these hospitals and organizations:

University of Missouri Health Care

Physical Medicine and Rehabilitation Clinic

THE CURATORS OF THE UNIVERSITY OF MISSOURI

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General Payments

These charts describe general payments received by Chamelle Jan March, GNP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Otsuka America Pharmaceutical, Inc.	$104 Nuedexta $104

**Types of Payments**
Food and Beverage	$104

Biography

Ms. Chamelle March is a specialist in physiatry (physical medicine & rehabilitation) in Columbia, MO. These areas are among her clinical interests: concussion, amputee rehabilitation, and osteoporosis. Ms. March is professionally affiliated with the University of Missouri Health Care.