MARCI L EDGELL CNP
NPI 1497234025
Nurse Practitioner in Cincinnati, OH

Active since August 14, 2018PECOS EnrolledAccepts Medicare Assignment
77.95/100
CMS Quality Rating
2139 AUBURN AVE, CINCINNATI, OH 45219(513) 585-2255 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marci L Edgell Cnp NPPES

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

MARCI L EDGELL CNP (NPI 1497234025) is an individual nurse practitioner in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.019859) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2016).

NPPES Registry Identity

NPI1497234025
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARCI L EDGELLCredential: CNP
Location Address2139 AUBURN AVECincinnati, OH 45219-2906
Mailing Address8459 Wexford AveCincinnati, OH 45236-1609 · (513) 295-3522
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2016
Enumeration DateAugust 14, 2018
NPI 1497234025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · APRN.CNP.019859
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2139 AUBURN AVE, Cincinnati, OH 45219

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 and accepts Medicare assignment

Marci L Edgell Cnp 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 ID244641280
PECOS Enrollment IDI20201124001684
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

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.

77.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.5
Promoting Interoperability100
Improvement Activities40
Cost36.99

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
2139 AUBURN AVE
CINCINNATI, OH 45219
Anesthesiologist Assistant
2139 AUBURN AVE
CINCINNATI, OH 45219
Anesthesiologist Assistant
2139 AUBURN AVE
CINCINNATI, OH 45219
Pharmacist
2139 AUBURN AVE
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
2139 AUBURN AVE
CINCINNATI, OH 45219
Dietitian, Registered
2139 AUBURN AVE
CINCINNATI, OH 45219
Internal Medicine (Cardiovascular Disease)
2139 AUBURN AVE
CINCINNATI, OH 45219
Internal Medicine
2139 AUBURN AVE, ROOM 6166
CINCINNATI, OH 45219

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 Marci Edgell's NPI number?

The NPI number for Marci Edgell is 1497234025. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Marci Edgell located?

Marci Edgell practices at 2139 Auburn Ave, Cincinnati, OH 45219. The listed phone number is (513) 585-2255.

What is Marci Edgell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marci Edgell enrolled in Medicare?

Yes. Marci Edgell 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.

What insurance does Marci Edgell accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Marci Edgell 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 Marci Edgell was last updated on August 14, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.