MARLENE KIT-BLUE PEPUKAYI NP
NPI 1457125569
Nurse Practitioner - Family in Marietta, GA
About Marlene Kit-blue Pepukayi Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLENE KIT-BLUE PEPUKAYI NP (NPI 1457125569) is an individual family provider in Marietta, Georgia, licensed in Georgia (RN264701) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
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 (PECOS)
Marlene Kit-blue Pepukayi Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Marlene Pepukayi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marietta, GA 30067
- Reassigned Medicare billing, Georgia enrollment
- 10 clinicians in this Medicare group
Decatur, GA 30033
- Reassigned Medicare billing, Georgia enrollment
- 11 clinicians in this Medicare group
Johns Creek, GA 30097
- Reassigned Medicare billing, Georgia enrollment
- 12 clinicians in this Medicare group
Riverdale, GA 30274
- Reassigned Medicare billing, Georgia enrollment
- 10 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 30067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
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 Pepukayi's NPI number?
The NPI number for Marlene Pepukayi is 1457125569. It was assigned to this individual provider in the NPPES registry on November 9, 2023.
Where is Marlene Pepukayi located?
Marlene Pepukayi practices at 1640 Powers Ferry Rd SE Building 19, Ste 350, Marietta, GA 30067. The listed phone number is (215) 266-2560.
What is Marlene Pepukayi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marlene Pepukayi enrolled in Medicare?
Yes. Marlene Pepukayi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Marlene Pepukayi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Pepukayi reassigns Medicare benefits to 4 organizations: Restore First Health Marietta LLC (Marietta, GA), Prime Regen Decatur (Decatur, GA), Duluth Regenerative And Joint Institute LLC (Johns Creek, GA) and Restore First Health Riverdale LLC (Riverdale, GA). 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 Pepukayi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marlene Pepukayi accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Marlene Pepukayi 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 Marlene Pepukayi was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Marlene Kit-Blue Pepukayi, NP · NPI 1457125569
Family physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since November 9, 2023.
## Identity
- **NPI:** 1457125569 (Entity type: Individual)
- **Enumerated:** November 9, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN264701 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1640 POWERS FERRY RD SE, BUILDING 19, STE 350, Marietta, GA 30067-5491
- **Phone:** (215) 266-2560
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Restore First Health Marietta LLC (NPI 1487378071, Marietta, GA); Prime Regen Decatur (NPI 1811668593, Decatur, GA); Duluth Regenerative And Joint Institute LLC (NPI 1609428325, Johns Creek, GA); Restore First Health Riverdale LLC (NPI 1497439509, Riverdale, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1457125569) · Data from the CMS NPPES public registry.