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AMANDA G MARSHALL APRN
NPI 1154871804
Nurse Practitioner - Family in Maysville, KY

Active since October 06, 2016PECOS EnrolledAccepts Medicare Assignment
910 KENTON STATION DR, SUITE C, MAYSVILLE, KY 41056(606) 759-0017(606) 759-0573 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda G Marshall Aprn NPPES

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

AMANDA G MARSHALL APRN (NPI 1154871804) is an individual family provider in Maysville, Kentucky, licensed in Kentucky (3010756) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and maintains a secondary practice location in Butler.

NPPES Registry Identity

NPI1154871804
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA G MARSHALLCredential: APRN
Location Address910 KENTON STATION DR, SUITE CMaysville, KY 41056-9613
Mailing Address100 E Liberty St, Suite 800Louisville, KY 40202-1434 · Fax (606) 330-7825
Phone(606) 759-0017
Fax(606) 759-0573
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 6, 2016
Last NPPES UpdateMay 13, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1154871804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3010756
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3010756 (KY)
910 KENTON STATION DR, Maysville, KY 41056
Open in Google Maps ↗

Secondary Practice Location 1

Location 179 Country Club DrButler, KY 41006-8704 · Phone (859) 654-2283 · Fax (859) 654-2284

Accepted Insurance

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

Amanda G Marshall Aprn 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 ID8224317268
PECOS Enrollment IDI20161116000756
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 6

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
40 services34 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
31 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services24 patients
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.
24 services21 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
20 services16 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

Meadowview Regional Medical Center

Acute Care Hospitals · Maysville, KY
5/5 CMS rating
OwnershipProprietary
CMS Certification Number180019
Location989 Medical Park DriveMaysville, KY 41056 · Mason County
Emergency services Birthing friendly

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41056 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.

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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
49%215 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
27%423 patients2/55-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
40%154 patients2/55-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.
98%6,724 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…
76%431 patients4/55-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.
100%205 patients5/55-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.
66%1,426 patients3/55-star benchmark: 97%
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%1,426 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…
10%1,426 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.
19%1,426 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers20 claims40 services$5.78 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers29 claims29 services$17.64 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers24 claims24 services$5.52 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier20 claims20 services$25.34 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
2 suppliers35 claims35 services$82.65 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 8

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

LEWIS COUNTY PRIMARY CARE CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 956-0188
DR. CHRISTOPHER FRANCIS FENNELL D.O.
Psychiatry & Neurology (Psychiatry)
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0490
EVAN BOTHMAN CSW
Social Worker (Clinical)
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0433
MRS. KAYLA MARIE LINVILLE APRN
Nurse Practitioner
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0490
ST. ELIZABETH PHYSICIANS MAYSVILLE DIAGNOSTIC CENTER, LLC
Clinic/Center
910 KENTON STATION DR, SUITE E
MAYSVILLE, KY 41056
Mason County (606) 759-0073
GARY W ZORNES LCSW
Social Worker (Clinical)
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0433
MAYSVILLE DIAGNOSTIC CENTER LLC
Clinic/Center
910 KENTON STATION DR, SUITE E
MAYSVILLE, KY 41056
Mason County (606) 759-0073
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
910 KENTON STATION DR
MAYSVILLE, KY 41056
Mason County (606) 759-0689

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 Amanda Marshall's NPI number?

The NPI number for Amanda Marshall is 1154871804. It was assigned to this individual provider in the NPPES registry on October 6, 2016.

Where is Amanda Marshall located?

Amanda Marshall practices at 910 Kenton Station Dr Suite C, Maysville, KY 41056. The listed phone number is (606) 759-0017.

What is Amanda Marshall's specialty?

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

Is Amanda Marshall enrolled in Medicare?

Yes. Amanda Marshall 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 Amanda Marshall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Amanda 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.

Is Amanda Marshall affiliated with any hospitals?

According to CMS data, Amanda Marshall is affiliated with St Elizabeth Ft Thomas, Meadowview Regional Medical Center and St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Amanda Marshall was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.