DR. MARIE MONIQUE MCCORMACK MD
NPI 1033178637
Family Medicine in Reno, NV

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
5575 KIETZKE LN, RENO, NV 89511(775) 851-1505(775) 851-1583 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2021, Dec 31, 2020, Oct 1, 2018 (3 updates tracked since 2018).

About Dr. Marie Monique Mccormack Md NPPES

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

DR. MARIE MONIQUE MCCORMACK MD (NPI 1033178637) is an individual family medicine provider in Reno, Nevada, licensed in Nevada (9936) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains a secondary practice location in Reno.

NPPES Registry Identity

NPI1033178637
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIE MONIQUE MCCORMACKCredential: MD
Location Address5575 KIETZKE LNReno, NV 89511-2290
Mailing Address1155 Mill St # Mcm14Reno, NV 89502-1576 · (775) 982-5262 · Fax (775) 982-3900
Fax(775) 851-1583
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1992
Enumeration DateMarch 22, 2006
Last NPPES UpdateMay 28, 20213 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
NPI 1033178637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NV · 9936
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5575 KIETZKE LN, Reno, NV 89511

Other Names 1

Former Name (1)Marie M Forred M.d.

Secondary Practice Location 1

Location 113945 S Virginia St Ste 632Reno, NV 89511-8930 · Phone (775) 982-5000 · Fax (775) 982-3900

Other Identifiers 1

Other11041134Caqh

Accepted Insurance

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

Dr. Marie Monique Mccormack Md 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 ID5496765471
PECOS Enrollment IDI20060504000798
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
154 services64 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.
19 services19 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290001
Location1155 Mill StreetReno, NV 89502 · Washoe County
Emergency services Birthing friendly

Renown South Meadows Medical Center

Acute Care Hospitals · Reno, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290049
Location10101 Double R BlvdReno, NV 89521 · Washoe County
Emergency services

Banner Churchill Community Hospital

Critical Access Hospitals · Fallon, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number291313
Location801 East Williams AvenueFallon, NV 89406 · Churchill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89511 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers21 claims23 services$182.02 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 9

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

Nurse Practitioner (Family)
5575 KIETZKE LN
RENO, NV 89511
Nurse Practitioner (Family)
5575 KIETZKE LN
RENO, NV 89511
Nurse Practitioner (Family)
5575 KIETZKE LN
RENO, NV 89511
Internal Medicine
5575 KIETZKE LN
RENO, NV 89511
Family Medicine
5575 KIETZKE LN
RENO, NV 89511
Nurse Practitioner (Family)
5575 KIETZKE LN
RENO, NV 89511
Family Medicine
5575 KIETZKE LN
RENO, NV 89511
Family Medicine
5575 KIETZKE LN
RENO, NV 89511

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 Marie Mccormack's NPI number?

The NPI number for Marie Mccormack is 1033178637. It was assigned to this individual provider in the NPPES registry on March 22, 2006. The provider is also known as Marie M Forred M.D..

Where is Marie Mccormack located?

Marie Mccormack practices at 5575 Kietzke Ln, Reno, NV 89511. The listed phone number is (775) 851-1505.

What is Marie Mccormack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marie Mccormack enrolled in Medicare?

Yes. Marie Mccormack 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.

What insurance does Marie Mccormack accept?

Health plans from Ambetter from Arizona Complete Health list Marie Mccormack 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.

Is Marie Mccormack affiliated with any hospitals?

According to CMS data, Marie Mccormack is affiliated with Renown Regional Medical Center, Renown South Meadows Medical Center and Banner Churchill Community Hospital.

When was this NPI record last updated?

The NPPES record for Marie Mccormack was last updated on May 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.