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MARLENE M SUMMERS CNM
NPI 1659465755
Nurse Practitioner - Obstetrics & Gynecology in Lake City, FL

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
449 SE BAYA DRIVE, LAKE CITY, FL 32025(386) 755-0500(386) 755-9217 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marlene M Summers Cnm NPPES

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

MARLENE M SUMMERS CNM (NPI 1659465755) is an individual obstetrics & gynecology provider in Lake City, Florida, licensed in Florida (1370482) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Lake City Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1659465755
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMARLENE M SUMMERSCredential: CNM
Location Address449 SE BAYA DRIVELake City, FL 32025
Mailing Address6400 W Newberry Rd, Ste 207Gainesville, FL 32605-6600 · (352) 371-2011 · Fax (352) 384-3611
Phone(386) 755-0500
Fax(386) 755-9217
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 3, 2006
Last NPPES UpdateOctober 12, 2016
✔ NPI 1659465755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in FL · 1370482
449 SE BAYA DRIVE, Lake City, FL 32025
Open in Google Maps ↗

Other Identifiers 5

Other240386FL · Avmed
Medicare UPINS50467FL
Medicare ID-Type UnspecifiedE0280ZFL · Medicare Provider Number
OtherY9008FL · Bcbs Provider Number
Medicaid340059000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare, UnitedHealthcare.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

Marlene M Summers Cnm 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 ID2466740188
PECOS Enrollment IDI20161013000428
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Lake City Hospital

Acute Care Hospitals · Lake City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100156
Location340 NW Commerce DrLake City, FL 32055 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32025 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
56%129 patients3/55-star benchmark: 93%
Cervical Cancer Screening
79%476 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
20%45 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
7%195 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
99%751 patients4/55-star benchmark: 100%
e-Prescribing
100%288 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%486 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
47%725 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 74% · 437 patients
Patients screened: 79% · 437 patients
53%43 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%403 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

PASTOR H. RIOS, MD
Specialist
449 SE BAYA DRIVE
LAKE CITY, FL 32025
Columbia County (386) 755-0500
DR. PASTOR H RIOS M.D.
Specialist
449 SE BAYA DRIVE
LAKE CITY, FL 32025
Columbia County (386) 755-0500

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 Marlene Summers's NPI number?

The NPI number for Marlene Summers is 1659465755. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Marlene Summers located?

Marlene Summers practices at 449 SE Baya Drive, Lake City, FL 32025. The listed phone number is (386) 755-0500.

What is Marlene Summers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Marlene Summers enrolled in Medicare?

Yes. Marlene Summers 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 Marlene Summers accept?

Health plans from AvMed, Molina Healthcare and UnitedHealthcare list Marlene Summers 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 Marlene Summers affiliated with any hospitals?

According to CMS data, Marlene Summers is affiliated with Hca Florida Lake City Hospital.

When was this NPI record last updated?

The NPPES record for Marlene Summers was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.