MARLENE ANN HNILICA
NPI 1982170049
Nurse Practitioner - Psychiatric/Mental Health in Lexington, NC
About Marlene Ann Hnilica NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLENE ANN HNILICA (NPI 1982170049) is an individual psychiatric/mental health provider in Lexington, North Carolina, licensed in North Carolina (900148) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Firsthealth Moore Regional Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Marlene Ann Hnilica 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.
Medicare Billing Reassignment
Medicare enrollment records show Marlene Hnilica reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 241 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Firsthealth Moore Regional Hospital
Acute Care Hospitals · Pinehurst, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, NC 27292
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 Marlene Hnilica's NPI number?
The NPI number for Marlene Hnilica is 1982170049. It was assigned to this individual provider in the NPPES registry on October 16, 2018.
Where is Marlene Hnilica located?
Marlene Hnilica practices at 1104 S Main St Ste A, Lexington, NC 27292. The listed phone number is (336) 242-2450.
What is Marlene Hnilica's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Marlene Hnilica enrolled in Medicare?
Yes. Marlene Hnilica 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 organization bills Medicare for Marlene Hnilica's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlene Hnilica reassigns Medicare benefits to Daymark Recovery Services, Inc. (Concord, NC). The 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 Marlene Hnilica's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marlene Hnilica accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Marlene Hnilica 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 Marlene Hnilica affiliated with any hospitals?
According to CMS data, Marlene Hnilica is affiliated with Firsthealth Moore Regional Hospital.
When was this NPI record last updated?
The NPPES record for Marlene Hnilica was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Marlene Ann Hnilica · NPI 1982170049
Psychiatric/Mental Health physician in Lexington, North Carolina. Individual provider, active in the CMS NPPES registry since October 16, 2018.
## Identity
- **NPI:** 1982170049 (Entity type: Individual)
- **Enumerated:** October 16, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 900148 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1104 S MAIN ST STE A, Lexington, NC 27292-3134
- **Phone:** (336) 242-2450
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Daymark Recovery Services, Inc. (NPI 1558329243, Concord, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1982170049) · Data from the CMS NPPES public registry.