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MARLENE D ALLSHOUSE FNP
NPI 1295005569
Nurse Practitioner - Family in Sacaton, AZ

Active since January 04, 2012PECOS EnrolledAccepts Medicare Assignment
86.99/100
CMS Quality Rating
483 W SEED FARM RD., SACATON, AZ 85147(602) 528-1200(602) 528-1255 Get Directions Write a Review

NPPES record last updated: February 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marlene D Allshouse Fnp NPPES

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

MARLENE D ALLSHOUSE FNP (NPI 1295005569) is an individual family provider in Sacaton, Arizona, licensed in Arizona (AP4273) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1295005569
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARLENE D ALLSHOUSECredential: FNP
Location Address483 W SEED FARM RD.Sacaton, AZ 85147-0038
Mailing AddressPo Box 38Sacaton, AZ 85147-0001 · (602) 528-1200 · Fax (602) 528-1255
Phone(602) 528-1200
Fax(602) 528-1255
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 4, 2012
Last NPPES UpdateFebruary 17, 2014
✔ NPI 1295005569 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
License✔ Licensed in AZ · AP4273
483 W SEED FARM RD., Sacaton, AZ 85147
Open in Google Maps ↗

Accepted Insurance

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

Marlene D Allshouse 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 ID3870749385
PECOS Enrollment IDI20120815000375
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 Reassignment

Medicare enrollment records show Marlene Allshouse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gila River Health Care Corporation
0.3 mi
Critical Access
483 W. SEED FARM RD.
Sacaton, AZ 85147
  • Reassigned Medicare billing, Texas enrollment
  • 482 clinicians in this Medicare group
NPI 1225023179 (602) 528-1200

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85147 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

86.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.35
Promoting Interoperability88
Improvement Activities40
Cost53.95

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
50%339 patients3/55-star benchmark: 98%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
49%2,114 patients2/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
3%152 patients1/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
68%1,493 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
86%79 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
56%823 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
91%798 patients4/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
3%1,497 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

MRS. FRANCES ANTONE PA
Physician Assistant
483 W SEED FARM RD.
SACATON, AZ 85147
Pinal County (602) 528-1200

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 Allshouse's NPI number?

The NPI number for Marlene Allshouse is 1295005569. It was assigned to this individual provider in the NPPES registry on January 4, 2012.

Where is Marlene Allshouse located?

Marlene Allshouse practices at 483 W Seed Farm Rd., Sacaton, AZ 85147. The listed phone number is (602) 528-1200.

What is Marlene Allshouse's specialty?

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

Is Marlene Allshouse enrolled in Medicare?

Yes. Marlene Allshouse 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 organization bills Medicare for Marlene Allshouse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Allshouse reassigns Medicare benefits to Gila River Health Care Corporation (Sacaton, AZ). The 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 Marlene Allshouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marlene Allshouse accept?

Health plans from Blue Cross Blue Shield of Arizona list Marlene Allshouse 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 Allshouse was last updated on February 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.