MRS. MARLENE WILSON-LAVALLEY NP-C
NPI 1275919698
Nurse Practitioner in Wetumpka, AL

Q: What is Marlene Wilson-lavalley's NPI number?

The NPI number for Marlene Wilson-lavalley is 1275919698. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Q: What is Marlene Wilson-lavalley's specialty?

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

Active since August 07, 2015PECOS EnrolledAccepts Medicare Assignment

500 HOSPITAL DR, WETUMPKA, AL 36092(334) 514-3713 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2018, Dec 21, 2015, Nov 19, 2015 and 1 more (4 updates tracked since 2015).

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About Mrs. Marlene Wilson-lavalley Np-c NPPES

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

MRS. MARLENE WILSON-LAVALLEY NP-C (NPI 1275919698) is an individual nurse practitioner in Wetumpka, Alabama, licensed in Alabama (1-089891) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2015).

NPPES Registry Identity

NPI1275919698

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. MARLENE WILSON-LAVALLEYCredential: NP-C

Location Address500 HOSPITAL DRWetumpka, AL 36092-1625

Mailing Address500 Hospital DrWetumpka, AL 36092-1625 · (334) 514-3713

Phone(334) 514-3713

Sole ProprietorYes

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2015

Enumeration DateAugust 7, 2015

Last NPPES UpdateJuly 6, 20184 updates tracked since enumeration

✔ NPI 1275919698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AL · 1-089891

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 · FamilyTaxonomy 363LF0000X · License RN195646 (AZ)

500 HOSPITAL DR, Wetumpka, AL 36092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Mrs. Marlene Wilson-lavalley Np-c 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 ID9436454741

PECOS Enrollment IDI20160224002724, I20160812001570

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 8

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 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.

46 services32 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

38 services38 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.

32 services23 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

26 services26 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

25 services23 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36092 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

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 supplier15 claims15 services$91.11 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 14

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

IVY CREEK OF ELMORE, LLC

Nurse Anesthetist, Certified Registered

500 HOSPITAL DR
WETUMPKA, AL 36092

Elmore County (334) 567-4311

IVY CREEK OF ELMORE, LLC

Surgery

500 HOSPITAL DR, SUITE B
WETUMPKA, AL 36092

Elmore County (334) 567-4311

IVYCREEK OF ELMORE LLC

Emergency Medical Technician, Basic

500 HOSPITAL DR
WETUMPKA, AL 36092

Elmore County (334) 567-4311

CLEAR HORIZONS RECOVERY CLINIC, LLC

Clinic/Center (Recovery Care)

500 HOSPITAL DR
WETUMPKA, AL 36092

Elmore County (334) 567-4311

MALLORY JONES CRNP

Registered Nurse

500 HOSPITAL DR
WETUMPKA, AL 36092

Elmore County (334) 567-4311

IVY CREEK OF ELMORE, LLC

Clinical Medical Laboratory

500 HOSPITAL DR
WETUMPKA, AL 36092

Elmore County (334) 567-4311

ALEXANDRA SHADE GROSS CRNP

Nurse Practitioner (Family)

500 HOSPITAL DR
WETUMPKA, AL 36092

Elmore County (334) 567-4311

IVY CREEK OF ELMORE LLC

General Acute Care Hospital

500 HOSPITAL DR
WETUMPKA, AL 36092

Elmore County (334) 567-4311

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 Marlene Wilson-lavalley's NPI number?

The NPI number for Marlene Wilson-lavalley is 1275919698. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Where is Marlene Wilson-lavalley located?

Marlene Wilson-lavalley practices at 500 Hospital Dr, Wetumpka, AL 36092. The listed phone number is (334) 514-3713.

What is Marlene Wilson-lavalley's specialty?

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

Is Marlene Wilson-lavalley enrolled in Medicare?

Yes. Marlene Wilson-lavalley 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 Marlene Wilson-lavalley accept?

Health plans from Blue Cross and Blue Shield of Alabama list Marlene Wilson-lavalley 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 Marlene Wilson-lavalley was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.