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VALERIE LYNETTE MAINER FNP
NPI 1245580471
Nurse Practitioner - Family in Decatur, GA

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
1760 CANDLER RD, DECATUR, GA 30032(404) 286-2215 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2018, Oct 25, 2017, Apr 20, 2017 (3 updates tracked since 2017).

About Valerie Lynette Mainer Fnp NPPES

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

VALERIE LYNETTE MAINER FNP (NPI 1245580471) is an individual family provider in Decatur, Georgia, licensed in Georgia (APRN-NP196442) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1245580471
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVALERIE LYNETTE MAINERCredential: FNP
Location Address1760 CANDLER RDDecatur, GA 30032-3254
Mailing Address1760 Candler RdDecatur, GA 30032-3254
Phone(404) 286-2215
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 14, 2012
Last NPPES UpdateOctober 29, 20253 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
✔ NPI 1245580471 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 GA · APRN-NP196442
Also ListedRegistered NurseTaxonomy 163W00000X · License RN196442 (GA)
1760 CANDLER RD, Decatur, GA 30032
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.Insurance ›

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

Valerie Lynette Mainer Fnp 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 ID9335434844
PECOS Enrollment IDI20160823002301
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 Valerie Mainer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medcura Health, Inc.
Same address
Federally Qualified Health Center (FQHC)
1760 CANDLER RD
Decatur, GA 30032
  • Reassigned Medicare billing, Georgia enrollment
  • 108 clinicians in this Medicare group
NPI 1790821023 (404) 286-2215
Grady Memorial Hospital Corporation
5.5 mi
Family Medicine
80 JESSE HILL JR DR SE, BOX 26019
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
NPI 1114243813 (404) 616-8880
Privia Medical Group Of Georgia LLC
23 mi
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
NPI 1013313857 (770) 460-4285
Minuteclinic LLC
540 mi
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Georgia enrollment
  • 350 clinicians in this Medicare group
NPI 1134191836 (866) 389-2727

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 11

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.
67 services65 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
64 services33 patients
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc U0002
This refers to a test for COVID-19, caused by the SARS-CoV-2 virus. The test identifies multiple types or subtypes of the virus, including all targets. It's not specifically based on the CDC's testing protocol. It helps determine if you're currently infected with the virus.
35 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 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.
32 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30032 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 2

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

CARMEN J WILSON MD PC
Ophthalmology
1760 CANDLER RD, SUITE D
DECATUR, GA 30032
Dekalb County (678) 914-4733
MEDCURA HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1760 CANDLER RD
DECATUR, GA 30032
Dekalb County (404) 286-2215

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 Valerie Mainer's NPI number?

The NPI number for Valerie Mainer is 1245580471. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Valerie Mainer located?

Valerie Mainer practices at 1760 Candler Rd, Decatur, GA 30032. The listed phone number is (404) 286-2215.

What is Valerie Mainer's specialty?

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

Is Valerie Mainer enrolled in Medicare?

Yes. Valerie Mainer 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 Valerie Mainer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Valerie Mainer reassigns Medicare benefits to 4 organizations: Medcura Health, Inc. (Decatur, GA), Grady Memorial Hospital Corporation (Atlanta, GA), Privia Medical Group Of Georgia LLC (Fayetteville, GA) and Minuteclinic LLC (Rockville, MD). 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 Valerie Mainer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Valerie Mainer accept?

Health plans from Ambetter Health and Oscar Health list Valerie Mainer 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 Valerie Mainer was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.