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MARNA MARIE REVLOCK APRN
NPI 1407512304
Nurse Practitioner - Adult Health in Canton, OH

Active since November 15, 2021PECOS Enrolled
128 WERTZ AVE NW STE A, CANTON, OH 44708(330) 936-6863 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marna Marie Revlock Aprn NPPES

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

MARNA MARIE REVLOCK APRN (NPI 1407512304) is an individual adult health provider in Canton, Ohio, licensed in Ohio (APRN.CNP.0029897) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407512304
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARNA MARIE REVLOCKCredential: APRN
Location Address128 WERTZ AVE NW STE ACanton, OH 44708-4196
Mailing Address2210 University Dr SeMassillon, OH 44646-7443 · (330) 936-6863
Phone(330) 936-6863
Sole ProprietorNo
Enumeration DateNovember 15, 2021
NPPES CertifiedNovember 15, 2021
✔ NPI 1407512304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · APRN.CNP.0029897
128 WERTZ AVE NW STE A, Canton, OH 44708
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marna Marie Revlock Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44708 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 4

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

EDGARDO A MALACAMAN MD
Pediatrics
128 WERTZ AVE NW STE A
CANTON, OH 44708
Stark County (330) 493-9903
STAR PEDIATRIC CARE
Pediatrics (Pediatric Emergency Medicine)
128 WERTZ AVE NW STE A
CANTON, OH 44708
Stark County (330) 621-0553
VITALITY MED LLC
Clinic/Center (Health Service)
128 WERTZ AVE NW STE A
CANTON, OH 44708
Stark County (330) 936-6863
RICHARD A RAABE DPM INC
Podiatrist (Primary Podiatric Medicine)
128 WERTZ AVE NW STE A
CANTON, OH 44708
Stark County (330) 477-6265

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 Marna Revlock's NPI number?

The NPI number for Marna Revlock is 1407512304. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Marna Revlock located?

Marna Revlock practices at 128 Wertz Ave NW Ste A, Canton, OH 44708. The listed phone number is (330) 936-6863.

What is Marna Revlock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Marna Revlock enrolled in Medicare?

Yes. Marna Revlock is registered in the Medicare PECOS enrollment system.

What insurance does Marna Revlock accept?

Health plans from CareSource and MedMutual list Marna Revlock 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.

When was this NPI record last updated?

The NPPES record for Marna Revlock was last updated on November 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.