MS. THORA C. MARK NP-C
NPI 1336658889
Nurse Practitioner - Family in Dededo, GU

Q: What is Thora Mark's NPI number?

The NPI number for Thora Mark is 1336658889. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Q: What is Thora Mark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thora Mark was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 28, 2017PECOS EnrolledAccepts Medicare Assignment

520 W SANTA MONICA AVE, DEDEDO, GU 96929(671) 635-7400 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Thora C. Mark Np-c NPPES

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

MS. THORA C. MARK NP-C (NPI 1336658889) is an individual family provider in Dededo, Guam, licensed in Guam (NP0169) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tamuning, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1336658889

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. THORA C. MARKCredential: NP-C

Location Address520 W SANTA MONICA AVEDededo, GU 96929-5286

Mailing AddressPo Box 5152Mangilao, GU 96923-5152 · (671) 734-6275

Phone(671) 635-7400

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 28, 2017

Last NPPES UpdateFebruary 16, 2021

NPPES CertifiedFebruary 16, 2021

✔ NPI 1336658889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GU · NP0169

Also ListedRegistered NurseTaxonomy 163W00000X · License RX0487 (GU)

Secondary Practice Location 1

Location 1388 Ypao RdTamuning, GU 96913-3701 · Phone (671) 646-8881

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. Thora C. Mark 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 ID5698014348

PECOS Enrollment IDI20190225002314

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96929 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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 11

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

APRIL KAREN VALDEZ MARQUEZ DO, MPH

Pediatrics