MARSHA A ALMARODE NP
NPI 1023062965
Nurse Practitioner - Family in Fishersville, VA

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
51 IVY RIDGE LN, FISHERSVILLE, VA 22939(540) 245-7262(540) 245-7054 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2023, Jan 19, 2023, Oct 26, 2016 (3 updates tracked since 2016).

About Marsha A Almarode Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARSHA A ALMARODE NP (NPI 1023062965) is an individual family provider in Fishersville, Virginia, licensed in Virginia (0024165737) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Augusta Health, and maintains a secondary practice location in Fishersville.

NPPES Registry Identity

NPI1023062965
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARSHA A ALMARODECredential: NP
Location Address51 IVY RIDGE LNFishersville, VA 22939-2339
Mailing AddressPo Box 388Fishersville, VA 22939-0388 · (540) 932-4000
Fax(540) 245-7054
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 22, 2006
Last NPPES UpdateMay 10, 20233 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
NPI 1023062965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in VA · 0024165737
51 IVY RIDGE LN, Fishersville, VA 22939

Secondary Practice Location 1

Location 178 Medical Center DrFishersville, VA 22939-2332 · Phone (540) 932-4000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marsha A Almarode Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789579202
PECOS Enrollment IDI20040216000319
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
101 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
57 services57 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
39 services33 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%266 patients3/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$79.82 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Nurse Practitioner (Adult Health)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Internal Medicine (Hospice and Palliative Medicine)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Nurse Practitioner (Family)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Physician Assistant
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Nurse Practitioner (Acute Care)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Physician Assistant
51 IVY RIDGE LN
FISHERSVILLE, VA 22939
Family Medicine (Geriatric Medicine)
51 IVY RIDGE LN
FISHERSVILLE, VA 22939

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marsha Almarode's NPI number?

The NPI number for Marsha Almarode is 1023062965. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Marsha Almarode located?

Marsha Almarode practices at 51 Ivy Ridge Ln, Fishersville, VA 22939. The listed phone number is (540) 245-7262.

What is Marsha Almarode's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marsha Almarode enrolled in Medicare?

Yes. Marsha Almarode is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Marsha Almarode affiliated with any hospitals?

According to CMS data, Marsha Almarode is affiliated with Augusta Health.

When was this NPI record last updated?

The NPPES record for Marsha Almarode was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.