NANCY MARCUM APRN
NPI 1255151940
Nurse Practitioner in Lexington, KY
About Nancy Marcum Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NANCY MARCUM APRN (NPI 1255151940) is an individual nurse practitioner in Lexington, Kentucky, licensed in Kentucky (4028831) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Knox County Hospital, and maintains a secondary practice location in Lexington.
NPPES Registry Identity
Specialties & Licenses
(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.
Secondary Practice Location 1
Accepted 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
Nancy Marcum 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Knox County Hospital
Critical Access Hospitals · Barbourville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, KY 40504
LEXINGTON, KY 40504
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 Nancy Marcum's NPI number?
The NPI number for Nancy Marcum is 1255151940. It was assigned to this individual provider in the NPPES registry on October 16, 2024.
Where is Nancy Marcum located?
Nancy Marcum practices at 828 Lane Allen Rd Ste 219, Lexington, KY 40504. The listed phone number is (443) 383-9300.
What is Nancy Marcum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Nancy Marcum enrolled in Medicare?
Yes. Nancy Marcum 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 Nancy Marcum accept?
Health plans from CareSource list Nancy Marcum 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 Nancy Marcum affiliated with any hospitals?
According to CMS data, Nancy Marcum is affiliated with Knox County Hospital.
When was this NPI record last updated?
The NPPES record for Nancy Marcum was last updated on April 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
