MRS. MARQUILLA AVILA-GALEANA FNP
NPI 1285204388
Nurse Practitioner - Family in Saint Pauls, NC

Active since June 30, 2021PECOS EnrolledAccepts Medicare Assignment
217 W BROAD ST, SAINT PAULS, NC 28384(910) 241-3078(910) 241-3412 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 19, 2021, Jun 30, 2021 (2 updates tracked since 2021).

About Mrs. Marquilla Avila-galeana Fnp NPPES

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

MRS. MARQUILLA AVILA-GALEANA FNP (NPI 1285204388) is an individual family provider in Saint Pauls, North Carolina, licensed in North Carolina (5014746) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285204388
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARQUILLA AVILA-GALEANACredential: FNP
Location Address217 W BROAD STSaint Pauls, NC 28384-1533
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490
Fax(910) 241-3412
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 30, 2021
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1285204388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NC · 5014746✔ Licensed in NC · AVIL-ARZSL
217 W BROAD ST, Saint Pauls, NC 28384

Accepted 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

Mrs. Marquilla Avila-galeana 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 ID1850797291
PECOS Enrollment IDI20210909002105
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 Marquilla Avila-galeana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
217 W BROAD ST
Saint Pauls, NC 28384
  • Reassigned Medicare billing, North Carolina enrollment
  • 122 clinicians in this Medicare group
Cardiovascular Disease
205 PAGE RD
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 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.

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 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.
87 services66 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.
60 services54 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
33 services31 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.
22 services11 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
21 services20 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
20 services11 patients

Hospital Affiliations CMS Care Compare

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

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28384 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 8

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

Clinic/Center (Primary Care)
217 W BROAD ST
SAINT PAULS, NC 28384
Pharmacist
217 W BROAD ST
SAINT PAULS, NC 28384
Nurse Practitioner
217 W BROAD ST
SAINT PAULS, NC 28384
Pharmacy (Community/Retail Pharmacy)
217 W BROAD ST
SAINT PAULS, NC 28384
Clinic/Center
217 W BROAD ST
SAINT PAULS, NC 28384
Pharmacist
217 W BROAD ST
SAINT PAULS, NC 28384
Pharmacy (Long Term Care Pharmacy)
217 W BROAD ST
SAINT PAULS, NC 28384
Pharmacist
217 W BROAD ST
SAINT PAULS, NC 28384

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 Marquilla Avila-galeana's NPI number?

The NPI number for Marquilla Avila-galeana is 1285204388. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Marquilla Avila-galeana located?

Marquilla Avila-galeana practices at 217 W Broad St, Saint Pauls, NC 28384. The listed phone number is (910) 241-3078.

What is Marquilla Avila-galeana's specialty?

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

Is Marquilla Avila-galeana enrolled in Medicare?

Yes. Marquilla Avila-galeana 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 Marquilla Avila-galeana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marquilla Avila-galeana reassigns Medicare benefits to 2 organizations: Southeastern Regional Physician Services (Saint Pauls, NC) and Unc Physicians Network, LLC (Pinehurst, NC). 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 Marquilla Avila-galeana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marquilla Avila-galeana accept?

Health plans from UnitedHealthcare list Marquilla Avila-galeana 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 Marquilla Avila-galeana affiliated with any hospitals?

According to CMS data, Marquilla Avila-galeana is affiliated with Southeastern Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Marquilla Avila-galeana was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.