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MARIE BARTHELEMY NP
NPI 1689638082
Nurse Practitioner - Family in Williamsburg, VA

Active since April 13, 2006PECOS Enrolled
95.11/100
CMS Quality Rating
4374 NEW TOWN AVE, SUITE 200, WILLIAMSBURG, VA 23188(757) 220-2795(757) 259-8797 Get Directions Write a Review

NPPES record last updated: February 26, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marie Barthelemy Np NPPES

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

MARIE BARTHELEMY NP (NPI 1689638082) is an individual family provider in Williamsburg, Virginia, licensed in Virginia (0024076547) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689638082
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIE BARTHELEMYCredential: NP
Location Address4374 NEW TOWN AVE, SUITE 200Williamsburg, VA 23188-2865
Mailing Address4374 New Town Ave, Suite 200Williamsburg, VA 23188-2865 · (757) 220-2795 · Fax (757) 259-8797
Phone(757) 220-2795
Fax(757) 259-8797
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateFebruary 26, 2014
✔ NPI 1689638082 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 VA · 0024076547
4374 NEW TOWN AVE, Williamsburg, VA 23188
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINP43132
Medicare PIN017372R53VA
Medicaid1689638082VA
Medicare PINP00670725VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie Barthelemy Np 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.

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.

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.
149 services129 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
54 services54 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
48 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services45 patients
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.
31 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
11 suppliers28 claims68 services$6.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims14 services$1.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers38 claims38 services$193.20 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 20

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

DR. MAURICE E GRAHAM M.D.
Pediatrics
4374 NEW TOWN AVE, STE 202
WILLIAMSBURG, VA 23188
James City County (757) 253-5757
BRITTANY LEANNA DOLAN MSN-FNP, BC
Nurse Practitioner (Family)
4374 NEW TOWN AVE
WILLIAMSBURG, VA 23188
James City County (757) 772-6124
DR. PHILIP S WALTER MD
Internal Medicine
4374 NEW TOWN AVE, SUITE 102
WILLIAMSBURG, VA 23188
James City County (757) 259-6770
DR. DAN F VIA M.D.
Pediatrics
4374 NEW TOWN AVE, STE 202
WILLIAMSBURG, VA 23188
James City County (757) 253-5757
SENTARA MEDICAL GROUP
Internal Medicine
4374 NEW TOWN AVE, STE 102
WILLIAMSBURG, VA 23188
James City County (757) 984-6170
GREGORY J. BIERNACKI MD
Family Medicine
4374 NEW TOWN AVE, SUITE 200
WILLIAMSBURG, VA 23188
James City County (757) 220-2795
VELOCITY URGENT CARE, LLC
Clinic/Center (Urgent Care)
4374 NEW TOWN AVE
WILLIAMSBURG, VA 23188
James City County (757) 772-6124
PAMELA J. BIERNACKI NP
Nurse Practitioner (Family)
4374 NEW TOWN AVE, SUITE 200
WILLIAMSBURG, VA 23188
James City County (757) 220-2795

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 Marie Barthelemy's NPI number?

The NPI number for Marie Barthelemy is 1689638082. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Marie Barthelemy located?

Marie Barthelemy practices at 4374 New Town Ave Suite 200, Williamsburg, VA 23188. The listed phone number is (757) 220-2795.

What is Marie Barthelemy's specialty?

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

Is Marie Barthelemy enrolled in Medicare?

Yes. Marie Barthelemy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marie Barthelemy was last updated on February 26, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.