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ANDREA LYNN DETAMORE
NPI 1356992077
Nurse Practitioner - Family in Marion, IN

Active since September 24, 2019PECOS EnrolledAccepts Medicare Assignment
83.71/100
CMS Quality Rating
441 N WABASH, MARION, IN 46952(765) 660-6900 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Andrea Lynn Detamore NPPES

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

ANDREA LYNN DETAMORE (NPI 1356992077) is an individual family provider in Marion, Indiana, licensed in Indiana (2819394A) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and maintains a secondary practice location in Marion.

NPPES Registry Identity

NPI1356992077
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA LYNN DETAMORE
Location Address441 N WABASHMarion, IN 46952-2612
Mailing Address330 N Wabash, Ste G20Marion, IN 46952 · (765) 660-7616 · Fax (765) 651-7313
Phone(765) 660-6900
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 24, 2019
✔ NPI 1356992077 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 IN · 2819394A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 28198394A (IN)
441 N WABASH, Marion, IN 46952
Open in Google Maps ↗

Secondary Practice Location 1

Location 11130 N Baldwin AveMarion, IN 46952-2536 · Phone (765) 660-7480 · Fax (765) 662-1259

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Andrea Lynn Detamore 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 ID1759718844
PECOS Enrollment IDI20200302002381
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
54 services53 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
52 services52 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services43 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46952 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

83.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.94
Promoting Interoperability95
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

LINDSEY LEEANA COOK FNP-C
Nurse Practitioner (Family)
441 N WABASH
MARION, IN 46952
Grant County (765) 660-6900
DR. ANTHONY PAUL COLLINS D.O.
Emergency Medicine
441 N WABASH
MARION, IN 46952
Grant County (765) 660-6900
STEPHEN JASINSKI MD
Emergency Medicine
441 N WABASH
MARION, IN 46952
Grant County (765) 660-9000
VENKATA K KANCHERLA MD
Internal Medicine
441 N WABASH
MARION, IN 46952
Grant County (765) 660-6000
BENERJI GUDAPATI MD
Hospitalist
441 N WABASH
MARION, IN 46952
Grant County (765) 660-6000

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 Andrea Detamore's NPI number?

The NPI number for Andrea Detamore is 1356992077. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Andrea Detamore located?

Andrea Detamore practices at 441 N Wabash, Marion, IN 46952. The listed phone number is (765) 660-6900.

What is Andrea Detamore's specialty?

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

Is Andrea Detamore enrolled in Medicare?

Yes. Andrea Detamore 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.

What insurance does Andrea Detamore accept?

Health plans from CareSource list Andrea Detamore 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 Andrea Detamore affiliated with any hospitals?

According to CMS data, Andrea Detamore is affiliated with Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Detamore was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.