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MS. PATRICIA ANN MARSHALL FNP
NPI 1134420268
Nurse Practitioner - Family in Sylvester, GA

Active since November 05, 2010PECOS Enrolled
201 MILES ST, SYLVESTER, GA 31791(229) 777-1884 Get Directions Write a Review

NPPES record last updated: November 5, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Patricia Ann Marshall Fnp NPPES

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

MS. PATRICIA ANN MARSHALL FNP (NPI 1134420268) is an individual family provider in Sylvester, Georgia, licensed in Georgia (RN133957) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134420268
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. PATRICIA ANN MARSHALLCredential: FNP
Location Address201 MILES STSylvester, GA 31791-7540
Mailing Address201 Miles StSylvester, GA 31791-7540 · (229) 777-1884
Phone(229) 777-1884
Sole ProprietorYes
Enumeration DateNovember 5, 2010
✔ NPI 1134420268 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 GA · RN133957
201 MILES ST, Sylvester, GA 31791
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Patricia Ann Marshall Fnp 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

5

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

Phoebe Women's Services
19 mi
Obstetrics & Gynecology
901 N MADISON ST
Albany, GA 31701
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Putney Memorial Hospital, Inc.
  • 264 clinicians in this Medicare group
NPI 1639338320 (229) 312-2557
Phoebe Physiatry
19 mi
Physical Medicine & Rehabilitation
425 W 3RD AVE, 105
Albany, GA 31701
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Physician Group Inc
  • 1,118 clinicians in this Medicare group
NPI 1295055861 (229) 312-5080
Georgia Em-I Medical Services PC
20 mi
Nurse Practitioner
2000 PALMYRA RD
Albany, GA 31701
  • Reassigned Medicare billing, Georgia enrollment
  • 132 clinicians in this Medicare group
NPI 1659606994 (229) 434-2000
Phoebe Sumter Medical Center, Inc.
45 mi
General Acute Care Hospital
126 HWY 280 W
Americus, GA 31719
  • Reassigned Medicare billing, Georgia enrollment
  • 107 clinicians in this Medicare group
NPI 1609001312 (229) 931-1280
Montgomery Emergency Group, LLC
97 mi
Emergency Medicine
1 MEADOWS PKWY
Vidalia, GA 30474
  • Reassigned Medicare billing, Georgia enrollment
  • 98 clinicians in this Medicare group
NPI 1861773764 (912) 535-5555

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 31791 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
99%139 patients1/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%126 patients
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
21%196 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
47%482 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
15%160 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%5,340 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
56%249 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%243 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
78%3,042 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%1,764 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
3%1,342 patients1/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%3,042 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%3,042 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
10%3,042 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Patricia Marshall's NPI number?

The NPI number for Patricia Marshall is 1134420268. It was assigned to this individual provider in the NPPES registry on November 5, 2010.

Where is Patricia Marshall located?

Patricia Marshall practices at 201 Miles St, Sylvester, GA 31791. The listed phone number is (229) 777-1884.

What is Patricia Marshall's specialty?

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

Is Patricia Marshall enrolled in Medicare?

Yes. Patricia Marshall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patricia Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Marshall reassigns Medicare benefits to 5 organizations: Phoebe Women's Services (Albany, GA), Phoebe Physiatry (Albany, GA), Georgia Em-I Medical Services PC (Albany, GA), Phoebe Sumter Medical Center, Inc. (Americus, GA) and Montgomery Emergency Group, LLC (Vidalia, GA). 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 Patricia Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Marshall accept?

Health plans from Alliant Health Plans, Inc. list Patricia Marshall 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 Patricia Marshall was last updated on November 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.