MARGARET ELAINE POOLE NP
NPI 1780051409
Nurse Practitioner - Gerontology in Newport News, VA

Active since August 28, 2015PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
1000 OLD DENBIGH BLVD, SUTIE 1020A, NEWPORT NEWS, VA 23602(757) 875-2009(757) 369-1042 Get Directions Write a Review

NPPES record last updated: August 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Margaret Elaine Poole Np NPPES

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

MARGARET ELAINE POOLE NP (NPI 1780051409) is an individual gerontology provider in Newport News, Virginia, licensed in Virginia (0024172693) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Riverside Walter Reed Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780051409
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARGARET ELAINE POOLECredential: NP
Location Address1000 OLD DENBIGH BLVD, SUTIE 1020ANewport News, VA 23602-2017
Mailing Address856 J Clyde Morris Blvd, Suite ANewport News, VA 23601-1318 · (757) 594-4006
Fax(757) 369-1042
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 28, 2015
NPI 1780051409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in VA · 0024172693
1000 OLD DENBIGH BLVD, Newport News, VA 23602

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

Margaret Elaine Poole Np 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 ID4183933419
PECOS Enrollment IDI20151027001653
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
181 services88 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
109 services101 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
93 services89 patients

Hospital Affiliations CMS Care Compare

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

Riverside Walter Reed Hospital

Acute Care Hospitals · Gloucester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490130
Location7519 Hospital RoadGloucester, VA 23061 · Gloucester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23602 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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.65
Promoting Interoperability95.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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 supplier23 claims23 services$62.05 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 14

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

Nurse Practitioner (Gerontology)
1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602
Nursing Facility/Intermediate Care Facility
1000 OLD DENBIGH BLVD
NEWPORT NEWS, VA 23602
Nurse Practitioner (Family)
1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602
Family Medicine
1000 OLD DENBIGH BLVD
NEWPORT NEWS, VA 23602
Family Medicine
1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602
Internal Medicine (Geriatric Medicine)
1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602
Nurse Practitioner (Gerontology)
1000 OLD DENBIGH BLVD, SUITE 1020A
NEWPORT NEWS, VA 23602
Physical Therapist
1000 OLD DENBIGH BLVD
NEWPORT NEWS, VA 23602

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 Margaret Poole's NPI number?

The NPI number for Margaret Poole is 1780051409. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Margaret Poole located?

Margaret Poole practices at 1000 Old Denbigh Blvd Sutie 1020A, Newport News, VA 23602. The listed phone number is (757) 875-2009.

What is Margaret Poole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Margaret Poole enrolled in Medicare?

Yes. Margaret Poole 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 Margaret Poole affiliated with any hospitals?

According to CMS data, Margaret Poole is affiliated with Riverside Walter Reed Hospital.

When was this NPI record last updated?

The NPPES record for Margaret Poole was last updated on August 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.