VIRGINIA ANN MARCUM APRN
NPI 1619463270
Nurse Practitioner - Family in London, KY
About Virginia Ann Marcum Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VIRGINIA ANN MARCUM APRN (NPI 1619463270) is an individual family provider in London, Kentucky, licensed in Kentucky (3012462) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Other Identifiers 10
Accepted 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
Virginia Ann Marcum 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.
Medicare Billing Reassignment
Medicare enrollment records show Virginia Marcum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40207
- Reassigned Medicare billing, Kentucky enrollment
- 193 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 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph London
Acute Care Hospitals · London, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
LONDON, KY 40741
LONDON, KY 40741
LONDON, KY 40741
LONDON, KY 40741
LONDON, KY 40741
LONDON, KY 40741
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 Virginia Marcum's NPI number?
The NPI number for Virginia Marcum is 1619463270. It was assigned to this individual provider in the NPPES registry on July 6, 2018.
Where is Virginia Marcum located?
Virginia Marcum practices at 100 London Mountain View Dr Fl 1, London, KY 40741. The listed phone number is (859) 275-5229.
What is Virginia Marcum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Virginia Marcum enrolled in Medicare?
Yes. Virginia Marcum 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 Virginia Marcum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Marcum reassigns Medicare benefits to Commonwealth Pain Associates, PLLC (Louisville, KY). 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 Virginia Marcum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Virginia Marcum accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Virginia Marcum 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 Virginia Marcum affiliated with any hospitals?
According to CMS data, Virginia Marcum is affiliated with Saint Joseph London.
When was this NPI record last updated?
The NPPES record for Virginia Marcum was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Virginia Ann Marcum, APRN · NPI 1619463270
Family physician in London, Kentucky. Individual provider, active in the CMS NPPES registry since July 6, 2018.
## Identity
- **NPI:** 1619463270 (Entity type: Individual)
- **Enumerated:** July 6, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3012462 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 LONDON MOUNTAIN VIEW DR FL 1, London, KY 40741-6668
- **Phone:** (859) 275-5229 · **Fax:** (859) 977-2683
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Commonwealth Pain Associates, PLLC (NPI 1306280177, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 2, 2026
- **Other identifiers:** Other 14286219; Other 6436712; Medicaid 7100579870 (KY); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1619463270) · Data from the CMS NPPES public registry.