MISS CLAUDIA ISABEL MARQUEZ NP
NPI 1164772885
Nurse Practitioner in Mattapan, MA

Active since September 11, 2012PECOS EnrolledAccepts Medicare Assignment
1135 MORTON ST, MATTAPAN, MA 02126(617) 533-2400(617) 533-2401 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 22, 2025, Feb 24, 2020, Jan 19, 2017 and 1 more (4 updates tracked since 2016).

About Miss Claudia Isabel Marquez Np NPPES

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

MISS CLAUDIA ISABEL MARQUEZ NP (NPI 1164772885) is an individual nurse practitioner in Mattapan, Massachusetts, licensed in Massachusetts (RN2307858) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164772885
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS CLAUDIA ISABEL MARQUEZCredential: NP
Location Address1135 MORTON STMattapan, MA 02126-2834
Mailing Address1135 Morton StMattapan, MA 02126-2834 · (617) 533-2400
Fax(617) 533-2401
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 11, 2012
Last NPPES UpdateDecember 22, 20254 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1164772885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2307858
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.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN2307858 (MA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN2307858 (MA)
Also ListedClinical Nurse Specialist · Family HealthTaxonomy 364SF0001X · License RN2307858 (MA)
1135 MORTON ST, Mattapan, MA 02126

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Claudia Isabel Marquez 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 ID42446023
PECOS Enrollment IDI20160811001420
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

2

Medicare enrollment records show Claudia Marquez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
80 SUMMER ST STE 1
Boston, MA 02110
  • Reassigned Medicare billing, Massachusetts enrollment
  • 25 clinicians in this Medicare group
Hospice Care, Community Based
160 WELLS AVE
Newton, MA 02459
  • Reassigned Medicare billing, Massachusetts enrollment
  • 11 clinicians in this Medicare group

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 02126 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

Registered Nurse
1135 MORTON ST
MATTAPAN, MA 02126
Occupational Therapist
1135 MORTON ST
MATTAPAN, MA 02126
Physical Therapist
1135 MORTON ST
MATTAPAN, MA 02126
Pharmacist
1135 MORTON ST
MATTAPAN, MA 02126
Registered Nurse
1135 MORTON ST
MATTAPAN, MA 02126
Dental Hygienist
1135 MORTON ST
MATTAPAN, MA 02126
Registered Nurse
1135 MORTON ST
MATTAPAN, MA 02126
Licensed Practical Nurse
1135 MORTON ST
MATTAPAN, MA 02126

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 Claudia Marquez's NPI number?

The NPI number for Claudia Marquez is 1164772885. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is Claudia Marquez located?

Claudia Marquez practices at 1135 Morton St, Mattapan, MA 02126. The listed phone number is (617) 533-2400.

What is Claudia Marquez's specialty?

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

Is Claudia Marquez enrolled in Medicare?

Yes. Claudia Marquez 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.

Which organizations bill Medicare for Claudia Marquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Marquez reassigns Medicare benefits to 2 organizations: Carbon Health Medical Group Of Massachusetts PC (Boston, MA) and Hospice Of The Good Shepherd, Inc. (Newton, MA). 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 Claudia Marquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Claudia Marquez was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.