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MARGUERITTE ADAMS APRN
NPI 1386231470
Nurse Practitioner - Family in Morehead, KY

Active since December 23, 2020PECOS EnrolledAccepts Medicare Assignment
245 FLEMINGSBURG RD, MOREHEAD, KY 40351(606) 780-5500(606) 780-2373 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 1, 2021, Jan 18, 2021, Dec 23, 2020 (3 updates tracked since 2020).

About Margueritte Adams Aprn NPPES

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

MARGUERITTE ADAMS APRN (NPI 1386231470) is an individual family provider in Morehead, Kentucky, licensed in Kentucky (3015277) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386231470
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARGUERITTE ADAMSCredential: APRN
Location Address245 FLEMINGSBURG RDMorehead, KY 40351-1015
Mailing Address245 Flemingsburg RdMorehead, KY 40351-1015 · (606) 780-5500 · Fax (660) 780-2373
Phone(606) 780-5500
Fax(606) 780-2373
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 23, 2020
Last NPPES UpdateSeptember 25, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1386231470 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 KY · 3015277
245 FLEMINGSBURG RD, Morehead, KY 40351
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1186 Brenna BlvdSalyersville, KY 41465-7524 · Phone (606) 349-3800 · Fax (606) 263-5619
Location 2172 Pedro WayWinchester, KY 40391-8354 · Phone (859) 306-8368 · Fax (859) 838-4658

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Margueritte Adams Aprn 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 ID6709290547
PECOS Enrollment IDI20210205001990
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

6

Medicare enrollment records show Margueritte Adams reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Claire Medical Center, Inc
Same address
Surgery
245 FLEMINGSBURG RD
Morehead, KY 40351
  • Reassigned Medicare billing, Kentucky enrollment
  • 296 clinicians in this Medicare group
NPI 1558383885 (606) 780-5500
Appalachian Regional Healthcare, Inc.
20 mi
Rural Health
1084 HIGHWAY 7, SUITE 2
West Liberty, KY 41472
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group
NPI 1780043927 (606) 743-3065
United Clinics Of Kentucky LLC
21 mi
Rural Health
633 PRESTONSBURG ST
West Liberty, KY 41472
  • Reassigned Medicare billing, Kentucky enrollment
  • 15 clinicians in this Medicare group
NPI 1356907224 (606) 743-3477
Southern Medical Partners, LLC
63 mi
Emergency Medicine
100 MEDICAL CENTER DRIVE
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 153 clinicians in this Medicare group
NPI 1538109962 (606) 439-6651
Kiosk Medicine Kentucky LLC
119 mi
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group
NPI 1205885035 (502) 451-4555
Green Valley Emergency Physicians, LLC
296 mi
Emergency Medicine
1530 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 220 clinicians in this Medicare group
NPI 1720755739 (271) 444-2444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY
3/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number180018
Location222 Medical CircleMorehead, KY 40351 · Rowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40351 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$21.24 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers43 claims46 services$119.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. RONALD A KLINE MD
Surgery (Vascular Surgery)
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Rowan County (606) 783-6500
MARSHA ALFREY WALL PA-C
Physician Assistant
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Rowan County (606) 780-5500
AMY TRIANO TEFFT MD
Surgery
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Rowan County (606) 780-5500
HAYLEY DAWN HILL PA-C
Physician Assistant
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Rowan County (606) 780-5500
AYITA RAY
Internal Medicine (Interventional Cardiology)
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Rowan County (606) 780-5500
ASHLEY M FAY PA-C
Physician Assistant
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Rowan County (606) 780-5500
INDU SHIVARAM MD
Internal Medicine
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Rowan County (606) 780-5500
RAVNEET THIND M.D.
Internal Medicine (Medical Oncology)
245 FLEMINGSBURG RD
MOREHEAD, KY 40351
Rowan County (606) 780-5500

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 Margueritte Adams's NPI number?

The NPI number for Margueritte Adams is 1386231470. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Where is Margueritte Adams located?

Margueritte Adams practices at 245 Flemingsburg Rd, Morehead, KY 40351. The listed phone number is (606) 780-5500.

What is Margueritte Adams's specialty?

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

Is Margueritte Adams enrolled in Medicare?

Yes. Margueritte Adams 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.

Which organizations bill Medicare for Margueritte Adams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margueritte Adams reassigns Medicare benefits to 6 organizations: St Claire Medical Center, Inc (Morehead, KY), Appalachian Regional Healthcare, Inc. (West Liberty, KY), United Clinics Of Kentucky LLC (West Liberty, KY), Southern Medical Partners, LLC (Hazard, KY), Kiosk Medicine Kentucky LLC (Louisville, KY) and 1 more organization, listed in the Medicare section above. 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 Margueritte Adams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margueritte Adams accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Margueritte Adams 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 Margueritte Adams affiliated with any hospitals?

According to CMS data, Margueritte Adams is affiliated with St Claire Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Margueritte Adams was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.