JESSICA MICHELLE MARSHAL APRN
NPI 1447793872
Internal Medicine - Addiction Medicine in Lexington, KY

Active since December 03, 2016PECOS Enrolled
60.28/100
CMS Quality Rating
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2023, Jul 12, 2022, Jun 6, 2022 and 2 more (5 updates tracked since 2019).

About Jessica Michelle Marshal Aprn NPPES

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

JESSICA MICHELLE MARSHAL APRN (NPI 1447793872) is an individual addiction medicine provider in Lexington, Kentucky, licensed in Kentucky (3010344) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447793872
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameJESSICA MICHELLE MARSHALCredential: APRN
Location Address1351 NEWTOWN PIKE BLDG 1Lexington, KY 40511-1277
Mailing Address913 Wyndham Hills DrLexington, KY 40514-1518 · (859) 539-4653
Sole ProprietorNo
Enumeration DateDecember 3, 2016
Last NPPES UpdateFebruary 22, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
NPI 1447793872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License Licensed in KY · 3010344
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 3010344 (KY)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3010344 (KY)
1351 NEWTOWN PIKE BLDG 1, Lexington, KY 40511

Secondary Practice Locations 2

Location 11795 Alysheba Way Ste 1001Lexington, KY 40509-2282 · Phone (859) 687-0416
Location 2913 Wyndham Hills DrLexington, KY 40514-1518 · Phone (859) 539-4653

Other Identifiers 2

Medicaid1790731081KY
Medicaid7100456600KY

Accepted 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)

Jessica Michelle Marshal 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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40511 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

60.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.81
Improvement Activities40
Cost99.79

Other Providers at the Same Location NPPES 20

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

Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Counselor (Mental Health)
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511

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 Jessica Marshal's NPI number?

The NPI number for Jessica Marshal is 1447793872. It was assigned to this individual provider in the NPPES registry on December 3, 2016.

Where is Jessica Marshal located?

Jessica Marshal practices at 1351 Newtown Pike Bldg 1, Lexington, KY 40511. The listed phone number is (859) 253-1686.

What is Jessica Marshal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Jessica Marshal enrolled in Medicare?

Yes. Jessica Marshal is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Marshal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Jessica Marshal 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 Jessica Marshal was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.