NANCI JAYNE MARQUESS MD
NPI 1730258500
Pediatrics in Bellevue, WA
NPI Status: Active since November 07, 2006
Contact Information
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
Phone: (206) 296-9770
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About NANCI MARQUESS
This page provides the complete NPI Profile along with additional information for Nanci Marquess, a pediatrician established in Bellevue, Washington with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1730258500 assigned on November 2006. The practitioner's primary taxonomy code is 208000000X with license number MD00027591 (WA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1730258500
- Provider Name
- NANCI JAYNE MARQUESS MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 14350 SE EASTGATE WAY BELLEVUE, WA 98007
- Location Phone
- (206) 296-9770
- Mailing Address
- 17343 NE 129TH ST REDMOND, WA 98052
- Mailing Phone
- (425) 895-0975
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-07-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A pediatrician like Nanci Marquess is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00027591
- License State
- WA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B29824 | MEDICARE UPIN (02) | WA | |
| 8148264 | MEDICAID (05) | WA |
Medicare Participation & PECOS Enrollment Status
Nanci Marquess is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 98007 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.43
- Minimum New Patient Price $63.67
- Maximum New Patient Price $189.37
- Average New Patient Copayment $24.35
- Minimum New Patient Copayment $15.91
- Maximum New Patient Copayment $47.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111
- Minimum Established Patient Price $21.12
- Maximum Established Patient Price $155
- Average Established Patient Copayment $27.75
- Minimum Established Patient Copayment $5.28
- Maximum Established Patient Copayment $38.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 3 | 0 | 2 | 5 | 8 | 5 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 4 | 5 | 16 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 4 + 5 + 1 + 6 + 5 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1730258500 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
SUSAN THIEL RD
Dietitian, Registered
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
DR. SOLEIMAN SOLTANI DDS
Dentist
(General Practice)
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
DR. ODETTE BATIK M.D.
Family Medicine
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
MR. MING KAY CHEN ARNP
Registered Nurse
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
DR. DIANA EGLE LINDNER MD
Pediatrics
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
SARAH CHRISTINE MCKINNEY CD, RD
Dietitian, Registered
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
MS. KATHLEEN ALICE GAUKEL ARNP
Nurse Practitioner
(Family)
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
MARLA GUNDLE NP
Nurse Practitioner
(Family)
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
DR. ELDINA NIZAMIC M.D.
Family Medicine
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
MRS. JENNA LAUREL NEWBREY R.D.
Dietitian, Registered
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
JOHANNA ELIZABETH HANFT RD
Dietitian, Registered
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
GLORIA JEAN BARBERIE R.N.
Registered Nurse
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
SHANE KHAKI
Case Manager/Care Coordinator
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
MARIANN AURELIA SCHMITT RN
Registered Nurse
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
CAITLIN YOUNG
Registered Nurse
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
MRS. CHRISTI MICHELLE STORBO RDH
Dental Hygienist
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
KING COUNTY FINANCE
Clinic/Center
(Federally Qualified Health Center (FQHC))
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
ROBIN GINNIS
Social Worker
(Clinical)
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
BERHANE MAKONNEN
Social Worker
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
KING COUNTY FINANCE
Pharmacy
(Clinic Pharmacy)
14350 SE EASTGATE WAY
BELLEVUE, WA
ZIP 98007
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730258500, enumerated as an "individual" on November 07, 2006.
The provider is located at 14350 SE EASTGATE WAY BELLEVUE, WA 98007 and the phone number is (206) 296-9770.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
