MARLENE E MCHUGH FNP
NPI 1396728895
Nurse Practitioner - Family in New York, NY

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
16TH STREET AT 1ST AVE, BIMC DEPT PAIN MEDICINE, NEW YORK, NY 10003(212) 844-1416 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marlene E Mchugh Fnp NPPES

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

MARLENE E MCHUGH FNP (NPI 1396728895) is an individual family provider in New York, New York, licensed in New York (F330589) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1396728895
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARLENE E MCHUGHCredential: FNP
Location Address16TH STREET AT 1ST AVE, BIMC DEPT PAIN MEDICINENew York, NY 10003
Mailing AddressPo Box 32888Hartford, CT 06150-2888 · (212) 844-1416
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 29, 2005
Last NPPES UpdateJuly 25, 2022
NPPES CertifiedJuly 22, 2022
NPI 1396728895 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 NY · F330589
16TH STREET AT 1ST AVE, New York, NY 10003

Other Identifiers 1

Medicaid01292424NY

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

Marlene E Mchugh Fnp 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 ID4587554142
PECOS Enrollment IDI20040317000968
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 10003 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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 Marlene Mchugh's NPI number?

The NPI number for Marlene Mchugh is 1396728895. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Marlene Mchugh located?

Marlene Mchugh practices at 16th Street At 1st Ave Bimc Dept Pain Medicine, New York, NY 10003. The listed phone number is (212) 844-1416.

What is Marlene Mchugh's specialty?

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

Is Marlene Mchugh enrolled in Medicare?

Yes. Marlene Mchugh 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.

When was this NPI record last updated?

The NPPES record for Marlene Mchugh was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.