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MARCIA MCGLONE APRN
NPI 1528219854
Nurse Practitioner - Psychiatric/Mental Health in Russellville, AR

Active since October 06, 2008PECOS EnrolledAccepts Medicare Assignment
2600 W MAIN ST, RUSSELLVILLE, AR 72801(833) 479-4325(833) 464-3107 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Aug 25, 2022 (2 updates tracked since 2022).

About Marcia Mcglone Aprn NPPES

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

MARCIA MCGLONE APRN (NPI 1528219854) is an individual psychiatric/mental health provider in Russellville, Arkansas, licensed in Arkansas (A003928) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1528219854
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARCIA MCGLONECredential: APRN
Location Address2600 W MAIN STRussellville, AR 72801-2535
Mailing AddressPo Box 233Knoxville, AR 72845-0233 · (479) 518-8549 · Fax (479) 479-3988
Phone(833) 479-4325
Fax(833) 464-3107
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 6, 2008
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1528219854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AR · A003928
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN55367 (AR)
2600 W MAIN ST, Russellville, AR 72801
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Marcia Mcglone Aprn 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 ID4981924966
PECOS Enrollment IDI20150514000595
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 Reassignment

Medicare enrollment records show Marcia Mcglone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling Associates Inc
0.6 mi
Community/Behavioral Health
110 SKYLINE DRIVE
Russellville, AR 72801
  • Reassigned Medicare billing, Arkansas enrollment
  • 79 clinicians in this Medicare group
NPI 1649381120 (479) 968-1298

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 72801 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Other Providers at the Same Location NPPES 6

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

LINDSEY SHARP
Nurse Practitioner (Family)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (833) 479-4325
TIMOTHY RAY HUGHES LPE-I, AADC, CS
Counselor (Mental Health)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (833) 479-4325
RIVER VALLEY MEDICAL WELLNESS, LLC
Clinic/Center (Multi-Specialty)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (833) 479-6325
MRS. LAURA MORALES APRN-CNP
Nurse Practitioner (Family)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (833) 479-4325
DR. KRISTIN KAY MARTIN D.O.
Family Medicine (Addiction Medicine)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (833) 479-4325
MIKI DENEISE REYNOLDS NURSE PRACTITIONER
Nurse Practitioner (Family)
2600 W MAIN ST
RUSSELLVILLE, AR 72801
Pope County (833) 479-4325

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 Marcia Mcglone's NPI number?

The NPI number for Marcia Mcglone is 1528219854. It was assigned to this individual provider in the NPPES registry on October 6, 2008.

Where is Marcia Mcglone located?

Marcia Mcglone practices at 2600 W Main St, Russellville, AR 72801. The listed phone number is (833) 479-4325.

What is Marcia Mcglone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Marcia Mcglone enrolled in Medicare?

Yes. Marcia Mcglone 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 Marcia Mcglone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcia Mcglone reassigns Medicare benefits to Counseling Associates Inc (Russellville, AR). 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 Marcia Mcglone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcia Mcglone accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Marcia Mcglone 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 Marcia Mcglone was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.