MARIANNA GRACE BETTINA PUCILLO NP
NPI 1124658067
Nurse Practitioner in Truckee, CA

Q: What is Marianna Pucillo's NPI number?

The NPI number for Marianna Pucillo is 1124658067. It was assigned to this individual provider in the NPPES registry on January 20, 2020.

Q: What is Marianna Pucillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Marianna Pucillo was last updated on January 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 20, 2020PECOS EnrolledAccepts Medicare Assignment

10121 PINE AVE, TRUCKEE, CA 96161(530) 550-7206 Get Directions Write a Review

NPPES record last updated: January 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Marianna Grace Bettina Pucillo Np NPPES

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

MARIANNA GRACE BETTINA PUCILLO NP (NPI 1124658067) is an individual nurse practitioner in Truckee, California, licensed in California (95013728) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Incline Village Community Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124658067

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARIANNA GRACE BETTINA PUCILLOCredential: NP

Location Address10121 PINE AVETruckee, CA 96161-4835

Mailing AddressPo Box 77Tahoe City, CA 96145-0077 · (781) 454-9342

Phone(530) 550-7206

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 20, 2020

✔ NPI 1124658067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95013728

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

10121 PINE AVE, Truckee, CA 96161

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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

Marianna Grace Bettina Pucillo 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 ID9537530126

PECOS Enrollment IDI20230118001177

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.

Hospital Affiliations CMS Care Compare

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

Incline Village Community Hospital

Critical Access Hospitals · Incline Village, NV

OwnershipGovernment - Hospital District or Authority

CMS Certification Number291301

Location880 Alder StreetIncline Village, NV 89451 · Washoe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96161 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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Other Providers at the Same Location NPPES 20

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

DR. GIPANJOT DHILLON MD

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