MARCELLA WILKINS FNP
NPI 1033753959
Nurse Practitioner - Family in Lubbock, TX

Active since November 04, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4003 113TH ST, LUBBOCK, TX 79423(806) 370-0151 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Marcella Wilkins Fnp NPPES

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

MARCELLA WILKINS FNP (NPI 1033753959) is an individual family provider in Lubbock, Texas, licensed in Texas (AP143846) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1033753959
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARCELLA WILKINSCredential: FNP
Location Address4003 113TH STLubbock, TX 79423-1979
Mailing Address3410 98th St Ste 4-143Lubbock, TX 79423-3847 · (806) 370-0151
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 4, 2019
NPI 1033753959 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 TX · AP143846
4003 113TH ST, Lubbock, TX 79423

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

Marcella Wilkins Fnp 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 ID4385076702
PECOS Enrollment IDI20191122001474
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.

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.
1,115 services500 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.
163 services153 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services75 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.
37 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Lubbock Heart Hospital LP

Acute Care Hospitals · Lubbock, TX
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450876
Location4810 North Loop 289Lubbock, TX 79416 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79423 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.13 avg. paid by Medicare
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
1 supplier12 claims12 services$83.59 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 3

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

Physical Medicine & Rehabilitation
4003 113TH ST
LUBBOCK, TX 79423
Nurse Practitioner (Family)
4003 113TH ST
LUBBOCK, TX 79423
Physical Medicine & Rehabilitation
4003 113TH ST
LUBBOCK, TX 79423

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 Marcella Wilkins's NPI number?

The NPI number for Marcella Wilkins is 1033753959. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Marcella Wilkins located?

Marcella Wilkins practices at 4003 113th St, Lubbock, TX 79423. The listed phone number is (806) 370-0151.

What is Marcella Wilkins's specialty?

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

Is Marcella Wilkins enrolled in Medicare?

Yes. Marcella Wilkins 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 Marcella Wilkins accept?

Health plans from Blue Cross and Blue Shield of Texas list Marcella Wilkins 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 Marcella Wilkins affiliated with any hospitals?

According to CMS data, Marcella Wilkins is affiliated with Covenant Medical Center, University Medical Center and Lubbock Heart Hospital LP.

When was this NPI record last updated?

The NPPES record for Marcella Wilkins was last updated on November 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.