MRS. MARCINIA MICHELLE BAILEY APRN
NPI 1548673155
Nurse Practitioner - Family in Middlesboro, KY

Q: What is Marcinia Bailey's NPI number?

The NPI number for Marcinia Bailey is 1548673155. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Q: What is Marcinia Bailey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Marcinia Bailey was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment

123 N 19TH ST, SUITE A201, MIDDLESBORO, KY 40965(606) 248-0090 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Marcinia Michelle Bailey Aprn NPPES

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

MRS. MARCINIA MICHELLE BAILEY APRN (NPI 1548673155) is an individual family provider in Middlesboro, Kentucky, licensed in Kentucky (3008683) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1548673155

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARCINIA MICHELLE BAILEYCredential: APRN

Location Address123 N 19TH ST, SUITE A201Middlesboro, KY 40965-2865

Mailing Address123 N 19th St Ste A201, Po Box 309Middlesboro, KY 40965-2865 · (606) 248-0090

Phone(606) 248-0090

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJune 11, 2014

✔ NPI 1548673155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3008683

123 N 19TH ST, Middlesboro, KY 40965

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Mrs. Marcinia Michelle Bailey 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 ID4880813732

PECOS Enrollment IDI20140909000376

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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

498 services124 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

122 services42 patients

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.

24 services14 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.

22 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180020

Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County

Emergency services Birthing friendly

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number180154

Location850 Riverview AvenuePineville, KY 40977 · Bell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40965 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers11 claims34 services$6.90 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 9

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

CHARLES A MOORE MD

Internal Medicine

123 N 19TH ST, SUITE 201
MIDDLESBORO, KY 40965

Bell County (606) 248-0090

LYNDA LYNN BROWNING ANP

Nurse Practitioner (Adult Health)

123 N 19TH ST
MIDDLESBORO, KY 40965

Bell County (606) 248-0090

DRS ROSE AND THOMAS

Surgery

123 N 19TH ST
MIDDLESBORO, KY 40965

Bell County (606) 248-7509

TIMOTHY L. GARDNER, DPM,PC

Podiatrist (Foot & Ankle Surgery)

123 N 19TH ST
MIDDLESBORO, KY 40965

Bell County (606) 248-2739

BRUCE T. WILSON,D.M.D., PSC

Dentist (Oral and Maxillofacial Surgery)

123 N 19TH ST
MIDDLESBORO, KY 40965

Bell County (606) 248-1808

MR. ROBERT LEE THOMAS IV MD

Surgery

123 N 19TH ST, SUITE B301
MIDDLESBORO, KY 40965

Bell County (606) 248-7509

CHARLES A MOORE

Clinic/Center

123 N 19TH ST, SUITE 201
MIDDLESBORO, KY 40965

Bell County (606) 248-7630

AIMEE NICOLE BROCK A.P.R.N., F.N.P.-B.C

Nurse Practitioner (Family)

123 N 19TH ST
MIDDLESBORO, KY 40965

Bell County (606) 248-2739

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 Marcinia Bailey's NPI number?

The NPI number for Marcinia Bailey is 1548673155. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Marcinia Bailey located?

Marcinia Bailey practices at 123 N 19th St Suite A201, Middlesboro, KY 40965. The listed phone number is (606) 248-0090.

What is Marcinia Bailey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marcinia Bailey enrolled in Medicare?

Yes. Marcinia Bailey 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 Marcinia Bailey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Marcinia Bailey 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.

Is Marcinia Bailey affiliated with any hospitals?

According to CMS data, Marcinia Bailey is affiliated with Middlesboro Arh Hospital and Pineville Community Health Center, Inc.

When was this NPI record last updated?

The NPPES record for Marcinia Bailey was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.