KATHLEEN MARCOUX
NPI 1972040236
Nurse Practitioner in Lowell, MA

Q: What is Kathleen Marcoux's NPI number?

The NPI number for Kathleen Marcoux is 1972040236. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Q: What is Kathleen Marcoux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Marcoux was last updated on May 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 25, 2017PECOS EnrolledAccepts Medicare Assignment

161 JACKSON ST, LOWELL, MA 01852(978) 937-9700 Get Directions Write a Review

NPPES record last updated: May 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2020, Apr 16, 2019, Jan 25, 2017 (3 updates tracked since 2017).

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About Kathleen Marcoux NPPES

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

KATHLEEN MARCOUX (NPI 1972040236) is an individual nurse practitioner in Lowell, Massachusetts, licensed in Massachusetts (RN2311346) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and is a graduate of University Of Massachusetts Medical School (2019).

NPPES Registry Identity

NPI1972040236

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKATHLEEN MARCOUX

Location Address161 JACKSON STLowell, MA 01852-2103

Mailing Address161 Jackson StLowell, MA 01852-2103

Phone(978) 937-9700

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2019

Enumeration DateJanuary 25, 2017

Last NPPES UpdateMay 25, 20203 updates tracked since enumeration

NPPES CertifiedMay 25, 2020

✔ NPI 1972040236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · RN2311346

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN2311346 (MA)

161 JACKSON ST, Lowell, MA 01852

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Kathleen Marcoux 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 ID9931520178

PECOS Enrollment IDI20200526002852

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.

Lowell General Hospital

Acute Care Hospitals · Lowell, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220063

Location295 Varnum AvenueLowell, MA 01854 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01852 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers20 claims60 services$3.51 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 20

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

DR. BRIAN JOHN PIETRANTONIO O.D.

Optometrist