MRS. MARCIA ELISE MCGINNIS APRN
NPI 1104161116
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Q: What is Marcia Mcginnis's NPI number?

The NPI number for Marcia Mcginnis is 1104161116. It was assigned to this individual provider in the NPPES registry on December 2, 2012. The provider is also known as Marcia King.

Q: What is Marcia Mcginnis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Marcia Mcginnis was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 02, 2012PECOS Enrolled

5905 GRANDEL BLVD, LOUISVILLE, KY 40258(502) 489-7351 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2022, Oct 22, 2019 (2 updates tracked since 2019).

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About Mrs. Marcia Elise Mcginnis Aprn NPPES

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

MRS. MARCIA ELISE MCGINNIS APRN (NPI 1104161116) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (3007793) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1104161116

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. MARCIA ELISE MCGINNISCredential: APRN

Location Address5905 GRANDEL BLVDLouisville, KY 40258-3099

Mailing Address101 S. Fifth Street, Suite 2500Louisville, KY 40202-3066 · (574) 546-1900 · Fax (574) 546-1999

Phone(502) 489-7351

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateDecember 2, 2012

Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2022

✔ NPI 1104161116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 3007793

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3007793 (KY)

5905 GRANDEL BLVD, Louisville, KY 40258

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Other Names 1

Former Name (1)Marcia King

Secondary Practice Location 1

Location 1101 S. Fifth Street, Suite 2500Louisville, KY 40202-3066 · Phone (574) 546-1900 · Fax (574) 546-1999

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Marcia Elise Mcginnis Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274770490

PECOS Enrollment IDI20230309002394

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 Marcia Mcginnis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Perfect Unity Behavioral Health LLC

5.5 mi

Community/Behavioral Health

3500 CANE RUN RD
Louisville, KY 40211

Reassigned Medicare billing, Kentucky enrollment

NPI 1245988401 (502) 554-4100

Omni Resource Services Inc Public Health And Wellness Center

7.8 mi

Health Service

2001 W BROADWAY
Louisville, KY 40203

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

NPI 1437969300 (502) 276-1273

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40258 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.

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 Marcia Mcginnis's NPI number?

The NPI number for Marcia Mcginnis is 1104161116. It was assigned to this individual provider in the NPPES registry on December 2, 2012. The provider is also known as Marcia King.

Where is Marcia Mcginnis located?

Marcia Mcginnis practices at 5905 Grandel Blvd, Louisville, KY 40258. The listed phone number is (502) 489-7351.

What is Marcia Mcginnis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marcia Mcginnis enrolled in Medicare?

Yes. Marcia Mcginnis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marcia Mcginnis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcia Mcginnis reassigns Medicare benefits to 2 organizations: Perfect Unity Behavioral Health LLC (Louisville, KY) and Omni Resource Services Inc Public Health And Wellness Center (Louisville, KY). 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 Marcia Mcginnis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcia Mcginnis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and CareSource list Marcia Mcginnis 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 Marcia Mcginnis was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.