DR. KATELYN MARIE MARKS OD
NPI 1417531260
Optometrist in Fernandina Beach, FL
About Dr. Katelyn Marie Marks Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATELYN MARIE MARKS OD (NPI 1417531260) is an individual optometrist in Fernandina Beach, Florida, licensed in Florida (OPC5920) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. Katelyn Marie Marks Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Katelyn Marks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fernandina, FL 32034
- Reassigned Medicare billing, Florida enrollment
- 16 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.
Areas of Expertise CMS Part B claims 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Katelyn Marks's NPI number?
The NPI number for Katelyn Marks is 1417531260. It was assigned to this individual provider in the NPPES registry on May 7, 2021.
Where is Katelyn Marks located?
Katelyn Marks practices at 6 S 14th St, Fernandina Beach, FL 32034. The listed phone number is (904) 261-5741.
What is Katelyn Marks's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Katelyn Marks enrolled in Medicare?
Yes. Katelyn Marks 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 organization bills Medicare for Katelyn Marks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Marks reassigns Medicare benefits to Russell Stackhouse MD PA (Fernandina, FL). The 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 Katelyn Marks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katelyn Marks accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Blue (BlueCross BlueShield FL) and 12 other insurers list Katelyn Marks 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 Katelyn Marks was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Katelyn Marie Marks, OD · NPI 1417531260
Optometrist provider in Fernandina Beach, Florida. Individual provider, active in the CMS NPPES registry since May 7, 2021.
## Identity
- **NPI:** 1417531260 (Entity type: Individual)
- **Enumerated:** May 7, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPC5920 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 6 S 14TH ST, Fernandina Beach, FL 32034-3212
- **Phone:** (904) 261-5741
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Russell Stackhouse MD PA (NPI 1538655014, Fernandina, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry, class of 2021
## Record status
- **NPPES last updated:** May 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1417531260) · Data from the CMS NPPES public registry.