MARLENA O'NEIL APRN
NPI 1023654480
Nurse Practitioner - Family in Elizabethtown, KY

Q: What is Marlena O'neil's NPI number?

The NPI number for Marlena O'neil is 1023654480. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Q: What is Marlena O'neil's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marlena O'neil was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since November 20, 2019PECOS Enrolled

240 W DIXIE AVE STE 4, ELIZABETHTOWN, KY 42701(270) 445-9344(502) 410-6819 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2025, Dec 4, 2024, Sep 30, 2024 and 1 more (4 updates tracked since 2019).

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About Marlena O'neil Aprn NPPES

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

MARLENA O'NEIL APRN (NPI 1023654480) is an individual family provider in Elizabethtown, Kentucky, licensed in Kentucky (3013515) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023654480

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARLENA O'NEILCredential: APRN

Location Address240 W DIXIE AVE STE 4Elizabethtown, KY 42701-1575

Mailing Address240 W Dixie Ave Ste 4Elizabethtown, KY 42701-1575

Phone(270) 445-9344

Fax(502) 410-6819

Sole ProprietorNo

Enumeration DateNovember 20, 2019

Last NPPES UpdateAugust 26, 20254 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1023654480 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 KY · 3013515

240 W DIXIE AVE STE 4, Elizabethtown, KY 42701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlena O'neil Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Marlena O'neil reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shc Medical Partners Of Kentucky, LLC

38 mi

Nurse Practitioner

2529 SIX MILE LN
Louisville, KY 40220

Reassigned Medicare billing, Kentucky enrollment
107 clinicians in this Medicare group

NPI 1417132614 (502) 491-5560

Abode Care Partners Al Vb, LLC

38 mi

Nurse Practitioner

2529 SIX MILE LN
Louisville, KY 40220

Reassigned Medicare billing, Kentucky enrollment
74 clinicians in this Medicare group

NPI 1992574354 (800) 807-6555

Abode Care Partners Ltc Vb, LLC

38 mi

Nurse Practitioner

2529 SIX MILE LN
Louisville, KY 40220

Reassigned Medicare billing, Kentucky enrollment
82 clinicians in this Medicare group

NPI 1447029798 (800) 807-6555

Cogent Healthcare Of Kentucky, Psc

77 mi

Internal Medicine

1 SAINT JOSEPH DR
Lexington, KY 40504

Reassigned Medicare billing, Kentucky enrollment
236 clinicians in this Medicare group

NPI 1053362293 (859) 313-1000

Signify Health, LLC

702 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Kentucky enrollment
390 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

788 services222 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

279 services231 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

242 services190 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

229 services37 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

130 services27 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

91 services21 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

65 services32 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

56 services23 patients

Nursing facility discharge day management, 30 minutes or less 99315

Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.

41 services41 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

28 services26 patients

Advance care planning, first 30 minutes 99497

25 services17 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

16 services11 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$8.02 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$22.96 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$9.32 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

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

ALI COUNSELING GROUP SERVICES INC

Counselor

240 W DIXIE AVE STE 4
ELIZABETHTOWN, KY 42701

Hardin County (502) 994-0901

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 Marlena O'neil's NPI number?

The NPI number for Marlena O'neil is 1023654480. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Marlena O'neil located?

Marlena O'neil practices at 240 W Dixie Ave Ste 4, Elizabethtown, KY 42701. The listed phone number is (270) 445-9344.

What is Marlena O'neil's specialty?

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

Is Marlena O'neil enrolled in Medicare?

Yes. Marlena O'neil is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marlena O'neil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlena O'neil reassigns Medicare benefits to 5 organizations: Shc Medical Partners Of Kentucky, LLC (Louisville, KY), Abode Care Partners Al Vb, LLC (Louisville, KY), Abode Care Partners Ltc Vb, LLC (Louisville, KY), Cogent Healthcare Of Kentucky, Psc (Lexington, KY) and Signify Health, LLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marlena O'neil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlena O'neil accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Marlena O'neil as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marlena O'neil was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.