KATHERINE MARCINKUS NP
NPI 1427895218
Nurse Practitioner - Family in Concord, MA

Active since July 10, 2024PECOS EnrolledAccepts Medicare Assignment
131 OLD ROAD TO 9 ACRE COR STE 710, CONCORD, MA 01742(978) 371-5386 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katherine Marcinkus Np NPPES

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

KATHERINE MARCINKUS NP (NPI 1427895218) is an individual family provider in Concord, Massachusetts, licensed in Massachusetts (CNPNE10001289) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Emerson Hospital -, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1427895218
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE MARCINKUSCredential: NP
Location Address131 OLD ROAD TO 9 ACRE COR STE 710Concord, MA 01742-4162
Mailing Address1 Gray PlLittleton, MA 01460-1828 · (978) 888-1584
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
✔ NPI 1427895218 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 MA · CNPNE10001289
131 OLD ROAD TO 9 ACRE COR STE 710, Concord, MA 01742

Other Names 1

Former Name (1)Katherine Gibbons

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

Katherine Marcinkus Np 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 ID5799213609
PECOS Enrollment IDI20250106002611
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

2

Medicare enrollment records show Katherine Marcinkus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
133 OLD ROAD TO NINE ACRE CORNER
Concord, MA 01742
  • Reassigned Medicare billing, Massachusetts enrollment
  • 451 clinicians in this Medicare group
Urgent Care
38 BOSTON POST RD W
Marlborough, MA 01752
  • Reassigned Medicare billing, Massachusetts enrollment
  • 64 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.

Hospital Affiliations CMS Care Compare

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

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01742 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Katherine Marcinkus's NPI number?

The NPI number for Katherine Marcinkus is 1427895218. It was assigned to this individual provider in the NPPES registry on July 10, 2024. The provider is also known as Katherine Gibbons.

Where is Katherine Marcinkus located?

Katherine Marcinkus practices at 131 Old Road To 9 Acre Cor Ste 710, Concord, MA 01742. The listed phone number is (978) 371-5386.

What is Katherine Marcinkus's specialty?

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

Is Katherine Marcinkus enrolled in Medicare?

Yes. Katherine Marcinkus 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 Katherine Marcinkus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Marcinkus reassigns Medicare benefits to 2 organizations: Emerson Practice Associates, Inc. (Concord, MA) and AFC Physicians Of Massachusetts, PC (Marlborough, MA). 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 Katherine Marcinkus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Marcinkus accept?

Health plans from Taro Health list Katherine Marcinkus 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 Katherine Marcinkus affiliated with any hospitals?

According to CMS data, Katherine Marcinkus is affiliated with Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Katherine Marcinkus was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.