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Chamelle J. March, GNP

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(Chamelle March, GNP-BC)

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Specializes in: Physiatry (Physical Medicine & Rehabilitation)

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

315 Business Loop 70 West
Columbia, MO 65203-3248

(573) 884-0033

Chamelle J. March, GNP is a nurse in Columbia, MO specializing in physiatry (physical medicine & rehabilitation). Chamelle J. 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

Address:

315 Business Loop 70 West
Columbia, MO 65203-3248

Address:

315 Business Loop 70 W
Columbia, MO

Some issues Chamelle J. 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.

doctor visit	252
hospital care	263
inpatient care	263

**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

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

doctor visit	191
hospital care	304
inpatient care	304

**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

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

doctor visit	229
hospital care	326
inpatient care	326

**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

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

doctor visit	231
hospital care	262
inpatient care	262

**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

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

doctor visit	201
hospital care	370
inpatient care	370

**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

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

doctor visit	233
hospital care	612
inpatient care	612

**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

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

doctor visit	177
hospital care	387
inpatient care	387

**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

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

doctor visit	183
hospital care	166
inpatient care	166

**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

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

doctor visit	418
hospital care	170
inpatient care	170

Average Medicare Procedure Volume From 2013 - 2021

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

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

doctor visit	238
hospital care	317
inpatient care	317

Average Medicare Patient Data From 2013 - 2021

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

**Gender**
Male	120
Female	94

**Ethnicity**
Black / African American	3
Asian / Pacific Islander	0
Non-Hispanic White	191
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	44
85 and over	13
Less than 65	85
65 to 74	70

Average of Total of Conditions of Medicare patients treated by Chamelle J. March, GNP From 2013 - 2021

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

Hypertension	60
High Cholesterol	52
Stroke	33
Ischemic Heart Disease	36
Depression	43
Chronic Kidney Disease	35
Asthma	7
Osteoporosis	7
Heart Failure	25
Chronic Obstructive Pulmonary Disease	18
Diabetes	36
Atrial Fibrillation	13
Dementia	16
Cancer	5

Education & Training

She is certified by the American Nurses Credentialing Center and has a state license in Missouri.

Board Certification: American Nurses Credentialing Center

Licensed In: Missouri

Affiliations & Hospitals

Chamelle J. 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

Ratings & Reviews

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General Payments

These charts describe general payments received by Chamelle J. 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's specialties are physiatry (physical medicine & rehabilitation) and geriatrics (elderly care). She practices in Columbia, MO. Ms. March is professionally affiliated with the University of Missouri Health Care. According to University of Missouri Health Care, new patients are welcome to contact her office in Columbia, MO.

Select Year:

Chamelle J. March, GNP

Office Locations

Some issues Chamelle J. March, GNP can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

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

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

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

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

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

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

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

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

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

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

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

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

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

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

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

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Chamelle J. March, GNP From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

Other Providers in Columbia, MO