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MRS. REGINA MARIE MARCINEK APRN, CLINICAL NURSE
NPI 1851680128
Clinical Nurse Specialist - Adult Health in Lexington, KY

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE STREET ROOM MN-524, UNIVERSITY OF KENTUCKY, LEXINGTON, KY 40536(859) 323-0511 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2026, Nov 15, 2021 (2 updates tracked since 2021).

About Mrs. Regina Marie Marcinek Aprn, Clinical Nurse NPPES

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

MRS. REGINA MARIE MARCINEK APRN, CLINICAL NURSE (NPI 1851680128) is an individual adult health provider in Lexington, Kentucky, licensed in Kentucky (3006788) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1851680128
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameMRS. REGINA MARIE MARCINEKCredential: APRN, CLINICAL NURSE
Location Address800 ROSE STREET ROOM MN-524, UNIVERSITY OF KENTUCKYLexington, KY 40536-0298
Mailing Address800 Rose St Rm Mn-524Lexington, KY 40536-0298
Phone(859) 323-0511
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 7, 2011
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1851680128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in KY · 3006788
Also ListedClinical Nurse SpecialistTaxonomy 364S00000X · License 3006788 (KY)
800 ROSE STREET ROOM MN-524, Lexington, KY 40536
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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

Mrs. Regina Marie Marcinek Aprn, Clinical Nurse 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 ID2163691189
PECOS Enrollment IDI20110809000471
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 4

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 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.
33 services33 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.
27 services22 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.
27 services21 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
20 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 Regina Marcinek's NPI number?

The NPI number for Regina Marcinek is 1851680128. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Regina Marcinek located?

Regina Marcinek practices at 800 Rose Street Room Mn-524 University Of Kentucky, Lexington, KY 40536. The listed phone number is (859) 323-0511.

What is Regina Marcinek's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Regina Marcinek enrolled in Medicare?

Yes. Regina Marcinek 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.

What insurance does Regina Marcinek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Regina Marcinek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Regina Marcinek affiliated with any hospitals?

According to CMS data, Regina Marcinek is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Regina Marcinek was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.