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

Active since November 29, 2005PECOS Enrolled
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: October 18, 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.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlene E Mchugh Fnp 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

3

Medicare enrollment records show Marlene Mchugh reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
Internal Medicine
3 BARKER AVE
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 167 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.

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 enrollment system.

Which organizations bill Medicare for Marlene Mchugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Mchugh reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (New York, NY), Trustees Of Columbia University In The City Of New York (New York, NY) and Hospitalist Healthcare Services PLLC (White Plains, NY). 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 Marlene Mchugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.