MRS. MARIETA MARCIAL RN, FNP
NPI 1811095037
Nurse Practitioner - Family in Fresno, CA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
31.51/100
CMS Quality Rating
3115 N MILLBROOK AVE, FRESNO, CA 93703(559) 600-2382 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 20, 2024, Oct 11, 2023 (2 updates tracked since 2023).

About Mrs. Marieta Marcial Rn, Fnp NPPES

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

MRS. MARIETA MARCIAL RN, FNP (NPI 1811095037) is an individual family provider in Fresno, California, licensed in California (NP 11638) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1811095037
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARIETA MARCIALCredential: RN, FNP
Location Address3115 N MILLBROOK AVEFresno, CA 93703-1425
Mailing Address3433 W Shaw Ave Ste 108Fresno, CA 93711-3229 · (559) 558-4051
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 24, 20252 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
✔ NPI 1811095037 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
Licenses✔ Licensed in CA · NP 11638✔ Licensed in CA · 11638
3115 N MILLBROOK AVE, Fresno, CA 93703

Secondary Practice Locations 2

Location 11107 O StFirebaugh, CA 93622-2224 · Phone (559) 659-9000 · Fax (559) 659-9017
Location 2560 E Herndon Ave Ste 201Fresno, CA 93720-2824 · Phone (559) 437-7304 · Fax (559) 437-7308

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Marieta Marcial Rn, Fnp 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 ID5597036327
PECOS Enrollment IDI20170811002412
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Marieta Marcial reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
199 W SHIELDS AVE
Fresno, CA 93705
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
Internal Medicine
7370 N PALM AVE STE 101
Fresno, CA 93711
  • Reassigned Medicare billing, California enrollment
  • 508 clinicians in this Medicare group
Internal Medicine
685 W ALLUVIAL AVE STE 103
Fresno, CA 93711
  • Reassigned Medicare billing, California enrollment
  • 76 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,236 services69 patients
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.
87 services76 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
37 services33 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.
25 services18 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
22 services11 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.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93703 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

31.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability0
Improvement Activities0
Cost88.36

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.

Marriage & Family Therapist
3115 N MILLBROOK AVE
FRESNO, CA 93703
Licensed Vocational Nurse
3115 N MILLBROOK AVE
FRESNO, CA 93703
Licensed Psychiatric Technician
3115 N MILLBROOK AVE
FRESNO, CA 93703
Social Worker
3115 N MILLBROOK AVE
FRESNO, CA 93703
Day Training/Habilitation Specialist
3115 N MILLBROOK AVE
FRESNO, CA 93703
Social Worker
3115 N MILLBROOK AVE
FRESNO, CA 93703
Licensed Vocational Nurse
3115 N MILLBROOK AVE
FRESNO, CA 93703
Day Training/Habilitation Specialist
3115 N MILLBROOK AVE
FRESNO, CA 93703

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 Marieta Marcial's NPI number?

The NPI number for Marieta Marcial is 1811095037. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Marieta Marcial located?

Marieta Marcial practices at 3115 N Millbrook Ave, Fresno, CA 93703. The listed phone number is (559) 600-2382.

What is Marieta Marcial's specialty?

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

Is Marieta Marcial enrolled in Medicare?

Yes. Marieta Marcial 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.

Which organizations bill Medicare for Marieta Marcial's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marieta Marcial reassigns Medicare benefits to 3 organizations: Central Valley Urgent Care Medical Group Inc (Fresno, CA), Community Foundation Medical Group (Fresno, CA) and Long Term Care Medical Group, Inc (Fresno, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marieta Marcial's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marieta Marcial was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.