MARILYN WALLIN
NPI 1750069092
Nurse Practitioner - Adult Health in Jamestown, NY

Active since July 07, 2023PECOS EnrolledAccepts Medicare Assignment
107 INSTITUTE ST # NA, JAMESTOWN, NY 14701(716) 484-4334 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2024, Jul 7, 2023 (2 updates tracked since 2023).

About Marilyn Wallin NPPES

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

MARILYN WALLIN (NPI 1750069092) is an individual adult health provider in Jamestown, New York, licensed in New York (311376) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750069092
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARILYN WALLIN
Location Address107 INSTITUTE ST # NAJamestown, NY 14701-6628
Mailing Address107 Institute St # NaJamestown, NY 14701-6628 · (716) 484-4334
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 7, 2023
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1750069092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 311376
107 INSTITUTE ST # NA, Jamestown, NY 14701

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

Marilyn Wallin 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 ID6406202795
PECOS Enrollment IDI20231023002142
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.

Hospital Affiliations CMS Care Compare

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

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14701 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
107 INSTITUTE ST # NA
JAMESTOWN, NY 14701
Family Medicine
107 INSTITUTE ST # NA
JAMESTOWN, NY 14701
Physician Assistant
107 INSTITUTE ST # NA
JAMESTOWN, NY 14701
Counselor (Mental Health)
107 INSTITUTE ST # NA
JAMESTOWN, NY 14701

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 Marilyn Wallin's NPI number?

The NPI number for Marilyn Wallin is 1750069092. It was assigned to this individual provider in the NPPES registry on July 7, 2023.

Where is Marilyn Wallin located?

Marilyn Wallin practices at 107 Institute St # Na, Jamestown, NY 14701. The listed phone number is (716) 484-4334.

What is Marilyn Wallin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Marilyn Wallin enrolled in Medicare?

Yes. Marilyn Wallin 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.

Is Marilyn Wallin affiliated with any hospitals?

According to CMS data, Marilyn Wallin is affiliated with Upmc Chautauqua At Wca.

When was this NPI record last updated?

The NPPES record for Marilyn Wallin was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.