MS. MARIANNE WACHALOVSKY FNP
NPI 1316247737
Nurse Practitioner - Family in Fairfield, CA

Active since November 01, 2010PECOS EnrolledAccepts Medicare Assignment
88.67/100
CMS Quality Rating
5140 BUSINESS CENTER DR, SUITE 130, FAIRFIELD, CA 94534(707) 646-4218 Get Directions Write a Review

NPPES record last updated: November 1, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Marianne Wachalovsky Fnp NPPES

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

MS. MARIANNE WACHALOVSKY FNP (NPI 1316247737) is an individual family provider in Fairfield, California, licensed in California (20316) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1316247737
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARIANNE WACHALOVSKYCredential: FNP
Location Address5140 BUSINESS CENTER DR, SUITE 130Fairfield, CA 94534-1793
Mailing Address818 Stillson DrPetaluma, CA 94954-6854
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 1, 2010
NPI 1316247737 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 CA · 20316
5140 BUSINESS CENTER DR, Fairfield, CA 94534

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

Ms. Marianne Wachalovsky 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 ID2567686918
PECOS Enrollment IDI20200409001562
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
42 services21 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services30 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
36 services36 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
25 services15 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services15 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94534 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

88.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.54
Promoting Interoperability100
Improvement Activities40
Cost70.7

Other Providers at the Same Location NPPES 6

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

Pediatrics
5140 BUSINESS CENTER DR, SUITE 200
FAIRFIELD, CA 94534
Specialist
5140 BUSINESS CENTER DR, SUITE 100
FAIRFIELD, CA 94534
Internal Medicine (Gastroenterology)
5140 BUSINESS CENTER DR, SUTIE 180
FAIRFIELD, CA 94534
Family Medicine
5140 BUSINESS CENTER DR, SUITE 200
FAIRFIELD, CA 94534
Specialist
5140 BUSINESS CENTER DR, SUITE 100
FAIRFIELD, CA 94534
Specialist
5140 BUSINESS CENTER DR, SUITE 100
FAIRFIELD, CA 94534

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316247737, enumerated as an "individual" on November 01, 2010.

The provider is located at 5140 BUSINESS CENTER DR SUITE 130 FAIRFIELD, CA 94534 and the phone number is (707) 646-4218.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.

Marianne Wachalovsky is affiliated with: LEGACY GOOD SAMARITAN MEDICAL CENTER.