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MARNIE NICKLOW CRNP
NPI 1912376260
Nurse Practitioner - Family in Belle Vernon, PA

Active since September 16, 2015PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
860 ROSTRAVER RD, BELLE VERNON, PA 15012(724) 929-3278 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marnie Nicklow Crnp NPPES

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

MARNIE NICKLOW CRNP (NPI 1912376260) is an individual family provider in Belle Vernon, Pennsylvania, licensed in Pennsylvania (SP015364) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912376260
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARNIE NICKLOWCredential: CRNP
Location Address860 ROSTRAVER RDBelle Vernon, PA 15012-1945
Mailing Address712 Meade StMonongahela, PA 15063-2227 · (724) 288-6999
Phone(724) 929-3278
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 16, 2015
✔ NPI 1912376260 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
License✔ Licensed in PA · SP015364
860 ROSTRAVER RD, Belle Vernon, PA 15012
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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

Marnie Nicklow Crnp 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 ID5496065112
PECOS Enrollment IDI20151110000940
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.

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.
87 services87 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15012 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 6

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

MR. MATTHEW JACOB KELLER PA-C
Physician Assistant
860 ROSTRAVER RD
BELLE VERNON, PA 15012
Fayette County (724) 929-3278
MEDEXPRESS URGENT CARE, PC - PENNSYLVANIA
Clinic/Center (Urgent Care)
860 ROSTRAVER RD
BELLE VERNON, PA 15012
Fayette County (724) 929-3278
MR. PATRICK JAMES LEADBITTER PA C
Physician Assistant
860 ROSTRAVER RD
ROSTRAVER TOWNSHIP, PA 15012
Fayette County (724) 929-3278
MONICA S RINGER NP
Nurse Practitioner (Family)
860 ROSTRAVER RD
ROSTRAVER TOWNSHIP, PA 15012
Fayette County (724) 929-3278
JOCELYN EAGLEHOUSE PA-C
Physician Assistant (Medical)
860 ROSTRAVER RD
BELLE VERNON, PA 15012
Fayette County (724) 929-3278
ROBIN R LUTES CRNP
Nurse Practitioner (Family)
860 ROSTRAVER RD
ROSTRAVER TOWNSHIP, PA 15012
Fayette County (724) 929-3278

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 Marnie Nicklow's NPI number?

The NPI number for Marnie Nicklow is 1912376260. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is Marnie Nicklow located?

Marnie Nicklow practices at 860 Rostraver Rd, Belle Vernon, PA 15012. The listed phone number is (724) 929-3278.

What is Marnie Nicklow's specialty?

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

Is Marnie Nicklow enrolled in Medicare?

Yes. Marnie Nicklow 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.

When was this NPI record last updated?

The NPPES record for Marnie Nicklow was last updated on September 16, 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.