KATHY MARCOTTE
NPI 1376020719
Nurse Practitioner - Family in Houston, TX

Active since July 27, 2018PECOS EnrolledAccepts Medicare Assignment
2425 WEST LOOP S STE 200, HOUSTON, TX 77027(844) 462-2677(855) 737-5542 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2019, Jul 27, 2018 (2 updates tracked since 2018).

About Kathy Marcotte NPPES

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

KATHY MARCOTTE (NPI 1376020719) is an individual family provider in Houston, Texas, licensed in Texas (AP137429) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376020719
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHY MARCOTTE
Location Address2425 WEST LOOP S STE 200Houston, TX 77027-4208
Mailing Address333 Commerce St Ste 700Nashville, TN 37201-1835 · (615) 454-9850
Fax(855) 737-5542
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 27, 2018
Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration
NPI 1376020719 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
Licenses Licensed in TX · AP137429 Licensed in NY · 342688
2425 WEST LOOP S STE 200, Houston, TX 77027

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

Kathy Marcotte 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 ID7810245701
PECOS Enrollment IDI20191125002390
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
204 services100 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
179 services122 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
151 services148 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
105 services88 patients

Hospital Affiliations CMS Care Compare 2

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Nurse Practitioner (Family)
2425 WEST LOOP S STE 200
HOUSTON, TX 77027
Nurse Practitioner (Family)
2425 WEST LOOP S STE 200
HOUSTON, TX 77027
Nurse Practitioner (Family)
2425 WEST LOOP S STE 200
HOUSTON, TX 77027
Nurse Practitioner (Family)
2425 WEST LOOP S STE 200
HOUSTON, TX 77027
Nurse Practitioner (Family)
2425 WEST LOOP S STE 200
HOUSTON, TX 77027
Nurse Practitioner
2425 WEST LOOP S STE 200
HOUSTON, TX 77027
Community/Behavioral Health
2425 WEST LOOP S STE 200
HOUSTON, TX 77027
Nurse Practitioner (Family)
2425 WEST LOOP S STE 200
HOUSTON, TX 77027

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 Kathy Marcotte's NPI number?

The NPI number for Kathy Marcotte is 1376020719. It was assigned to this individual provider in the NPPES registry on July 27, 2018.

Where is Kathy Marcotte located?

Kathy Marcotte practices at 2425 West Loop S Ste 200, Houston, TX 77027. The listed phone number is (844) 462-2677.

What is Kathy Marcotte's specialty?

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

Is Kathy Marcotte enrolled in Medicare?

Yes. Kathy Marcotte 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.

Is Kathy Marcotte affiliated with any hospitals?

According to CMS data, Kathy Marcotte is affiliated with Garnet Health Medical Center and Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Kathy Marcotte was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.