Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEANN CAROL MARQUEZ FNP
NPI 1528655669
Nurse Practitioner in Waverly, OH

Active since December 23, 2020PECOS Enrolled
70.91/100
CMS Quality Rating
100 DAWN LN, WAVERLY, OH 45690(740) 708-5449 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Mar 11, 2022, Jun 3, 2021 and 1 more (4 updates tracked since 2020).

About Leann Carol Marquez Fnp NPPES

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

LEANN CAROL MARQUEZ FNP (NPI 1528655669) is an individual nurse practitioner in Waverly, Ohio, licensed in Ohio (APRN.CNP.0028160) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Piketon.

NPPES Registry Identity

NPI1528655669
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLEANN CAROL MARQUEZCredential: FNP
Location Address100 DAWN LNWaverly, OH 45690-9138
Mailing Address803 Armbruster PkwyWaverly, OH 45690-3900 · (740) 947-6059
Sole ProprietorNo
Enumeration DateDecember 23, 2020
Last NPPES UpdateSeptember 29, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1528655669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.0028160
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.0028160 (OH)
100 DAWN LN, Waverly, OH 45690

Other Names 1

Former Name (1)Leann Carol Horner

Secondary Practice Location 1

Location 17143 US Highway 23Piketon, OH 45661-9527 · Phone (740) 289-2394

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)

Leann Carol Marquez Fnp 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.

Medicare Billing Reassignments

2

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

Primary Care
1050 CHINOE RD STE 350
Lexington, KY 40502
  • Reassigned Medicare billing, Ohio enrollment
  • 21 clinicians in this Medicare group
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Ohio enrollment
  • 80 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.

Areas of Expertise CMS Part B claims 4

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
338 services76 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
203 services54 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
56 services29 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45690 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.

70.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.01
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier13 claims2,184 services$6.76 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 14

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

Nurse Anesthetist, Certified Registered
100 DAWN LN
WAVERLY, OH 45690
Surgery
100 DAWN LN
WAVERLY, OH 45690
Counselor
100 DAWN LN
WAVERLY, OH 45690
Pharmacist
100 DAWN LN
WAVERLY, OH 45690
Pharmacist
100 DAWN LN
WAVERLY, OH 45690
Emergency Medicine
100 DAWN LN
WAVERLY, OH 45690
Dietary Manager
100 DAWN LN
WAVERLY, OH 45690
Pharmacist
100 DAWN LN
WAVERLY, OH 45690

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 Leann Marquez's NPI number?

The NPI number for Leann Marquez is 1528655669. It was assigned to this individual provider in the NPPES registry on December 23, 2020. The provider is also known as Leann Carol Horner.

Where is Leann Marquez located?

Leann Marquez practices at 100 Dawn Ln, Waverly, OH 45690. The listed phone number is (740) 708-5449.

What is Leann Marquez's specialty?

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

Is Leann Marquez enrolled in Medicare?

Yes. Leann Marquez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Leann Marquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leann Marquez reassigns Medicare benefits to 2 organizations: Exceptional Care Services LLC (Lexington, KY) and Provider Partners Care Management LP (Columbia, MD). 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 Leann Marquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leann Marquez accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Leann Marquez 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 Leann Marquez was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.