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MAREIKE GAY
NPI 1194327486
Nurse Practitioner - Family in Hemphill, TX

Active since November 11, 2020PECOS Enrolled
90.83/100
CMS Quality Rating
2421 WORTH ST, HEMPHILL, TX 75948(409) 787-1416 Get Directions Write a Review

NPPES record last updated: May 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 9, 2026, Nov 11, 2020 (2 updates tracked since 2020).

About Mareike Gay NPPES

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

MAREIKE GAY (NPI 1194327486) is an individual family provider in Hemphill, Texas, licensed in Texas (1019033) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Chi St Lukes Health Memorial Lufkin, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1194327486
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAREIKE GAY
Location Address2421 WORTH STHemphill, TX 75948-7215
Mailing Address2421 Worth StHemphill, TX 75948-7215 · (409) 787-1416
Phone(409) 787-1416
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 11, 2020
Last NPPES UpdateMay 9, 20262 updates tracked since enumeration
NPPES CertifiedMay 9, 2026
✔ NPI 1194327486 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 TX · 1019033
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1019033 (TX)
2421 WORTH ST, Hemphill, TX 75948
Open in Google Maps ↗

Secondary Practice Locations 5

Location 185 Interstate 10 N Ste 110Beaumont, TX 77707-2560 · Phone (409) 853-1885 · Fax (866) 397-8681
Location 22415 Town Center DrSugar Land, TX 77478-4387 · Phone (409) 853-1885 · Fax (866) 397-8681
Location 310 Medical Center Blvd Ste BLufkin, TX 75904-3163 · Phone (409) 853-1885 · Fax (866) 397-8681
Location 46830 E Sam Houston Pkwy N Ste 100BHouston, TX 77049-7301 · Phone (409) 853-1885 · Fax (866) 397-8681
Location 51431 S Highway 69Nederland, TX 77627-7841 · Phone (409) 853-1885 · Fax (866) 397-8681

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mareike Gay is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931514197
PECOS Enrollment IDI20210222000016
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

4

Medicare enrollment records show Mareike Gay reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Preferred Hospital Leasing Hemphill, Inc.
Same address
Rural Health
2421 WORTH ST
Hemphill, TX 75948
  • Reassigned Medicare billing, Texas enrollment
  • Also billed through NPI 1932379856 (Texas)
  • 26 clinicians in this Medicare group
NPI 1811256696 (409) 787-1416
Priority Wound Care Lymphedema & Hyperbaric Healing Center LLC
53 mi
Family
10 MEDICAL CENTER BLVD STE B
Lufkin, TX 75904
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
NPI 1669329421 (409) 853-1885
Priority Wound Care LLC
95 mi
Family Medicine
1431 S HIGHWAY 69
Nederland, TX 77627
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1982345617 (337) 315-7927
Priority Wound Care 2 U LLC
159 mi
Family Medicine
2415 TOWN CENTER DR
Sugar Land, TX 77478
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
NPI 1205783065 (409) 853-1885

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

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Lukes Health Memorial Lufkin

Acute Care Hospitals · Lufkin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450211
Location1201 West Frank StreetLufkin, TX 75901 · Angelina County
Emergency services Birthing friendly

Sabine County Hospital

Critical Access Hospitals · Hemphill, TX
OwnershipProprietary
CMS Certification Number451361
LocationPO Box 750, 2301 Hwy 83 WHemphill, TX 75948 · Sabine County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75948 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

90.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.98
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.38 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
1 supplier12 claims12 services$108.63 avg. paid by Medicare
Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims660 services$6.40 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims660 services$0.81 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers18 claims18 services$24.57 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 7

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

VALERIE LYNN UPSHAW APRN-CNP
Nurse Practitioner (Family)
2421 WORTH ST
HEMPHILL, TX 75948
Sabine County (409) 787-1416
CHAD MICHAEL MOODY PA-C
Physician Assistant (Medical)
2421 WORTH ST
HEMPHILL, TX 75948
Sabine County (409) 787-1416
SPENCER RILEY INCE MD
General Practice
2421 WORTH ST
HEMPHILL, TX 75948
Sabine County (409) 787-1416
STILLPOINT MEDICAL GROUP P.A.
Psychiatry & Neurology (Psychiatry)
2421 WORTH ST
HEMPHILL, TX 75948
Sabine County (409) 787-3772
PREFERRED HOSPITAL LEASING HEMPHILL, INC.
Clinic/Center (Rural Health)
2421 WORTH ST
HEMPHILL, TX 75948
Sabine County (409) 787-1416
PACKARD MEDICAL GROUP, P.A.
Clinic/Center (Rural Health)
2421 WORTH ST
HEMPHILL, TX 75948
Sabine County (409) 787-3772
PREFERRED HOSPITAL LEASING HEMPHILL, INC
Clinic/Center (Rural Health)
2421 WORTH ST
HEMPHILL, TX 75948
Sabine County (409) 787-3300

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 Mareike Gay's NPI number?

The NPI number for Mareike Gay is 1194327486. It was assigned to this individual provider in the NPPES registry on November 11, 2020.

Where is Mareike Gay located?

Mareike Gay practices at 2421 Worth St, Hemphill, TX 75948. The listed phone number is (409) 787-1416.

What is Mareike Gay's specialty?

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

Is Mareike Gay enrolled in Medicare?

Yes. Mareike Gay is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mareike Gay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mareike Gay reassigns Medicare benefits to 4 organizations: Preferred Hospital Leasing Hemphill, Inc. (Hemphill, TX), Priority Wound Care Lymphedema & Hyperbaric Healing Center LLC (Lufkin, TX), Priority Wound Care LLC (Nederland, TX) and Priority Wound Care 2 U LLC (Sugar Land, TX). 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 Mareike Gay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mareike Gay accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Mareike Gay 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 Mareike Gay affiliated with any hospitals?

According to CMS data, Mareike Gay is affiliated with Chi St Lukes Health Memorial Lufkin and Sabine County Hospital.

When was this NPI record last updated?

The NPPES record for Mareike Gay was last updated on May 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.