MICHELLE K MARKO NURSE PRACTITIONER
NPI 1346762465
Nurse Practitioner - Psychiatric/Mental Health in Worthington, OH

Active since July 11, 2017PECOS Enrolled
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085(614) 844-3800 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 22, 2024, Sep 2, 2023, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Michelle K Marko Nurse Practitioner NPPES

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

MICHELLE K MARKO NURSE PRACTITIONER (NPI 1346762465) is an individual psychiatric/mental health provider in Worthington, Ohio, licensed in Ohio (APRN.CNP.020972) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346762465
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMICHELLE K MARKOCredential: NURSE PRACTITIONER
Location Address445 E DUBLIN GRANVILLE RDWorthington, OH 43085-3192
Mailing Address25 Green LnPickerington, OH 43147-9574 · (614) 578-8768
Sole ProprietorNo
Enumeration DateJuly 11, 2017
Last NPPES UpdateJuly 22, 20244 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1346762465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.020972
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.020972 (OH)
445 E DUBLIN GRANVILLE RD, Worthington, OH 43085

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle K Marko Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Michelle Marko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
445 E DUBLIN GRANVILLE RD
Worthington, OH 43085
  • Reassigned Medicare billing, Ohio enrollment
  • 18 clinicians in this Medicare group
General Practice
445 E DUBLIN GRANVILLE RD STE H
Worthington, OH 43085
  • Reassigned Medicare billing, Ohio enrollment
  • 22 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 2

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.
52 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
35 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43085 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Behavior Analyst
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Behavior Technician
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Behavior Technician
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085

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 Michelle Marko's NPI number?

The NPI number for Michelle Marko is 1346762465. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Michelle Marko located?

Michelle Marko practices at 445 E Dublin Granville Rd, Worthington, OH 43085. The listed phone number is (614) 844-3800.

What is Michelle Marko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Michelle Marko enrolled in Medicare?

Yes. Michelle Marko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michelle Marko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Marko reassigns Medicare benefits to 2 organizations: Boundless Health, Inc. (Worthington, OH) and I Am Boundless, Inc. (Worthington, OH). 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 Michelle Marko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Marko accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Michelle Marko 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 Michelle Marko was last updated on July 22, 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.