MARLENE ANN HNILICA
NPI 1982170049
Nurse Practitioner - Psychiatric/Mental Health in Lexington, NC

Active since October 16, 2018PECOS EnrolledAccepts Medicare Assignment
95.02/100
CMS Quality Rating
1104 S MAIN ST STE A, LEXINGTON, NC 27292(336) 242-2450 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2020, Jan 24, 2020, Nov 1, 2018 and 1 more (4 updates tracked since 2018).

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

NPI1982170049
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARLENE ANN HNILICA
Location Address1104 S MAIN ST STE ALexington, NC 27292-3134
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 16, 2018
Last NPPES UpdateAugust 29, 20244 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
NPI 1982170049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NC · 900148
1104 S MAIN ST STE A, Lexington, NC 27292

Accepted 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

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.

PECOS PAC ID3173861879
PECOS Enrollment IDI20190205000247
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.

Firsthealth Moore Regional Hospital

Acute Care Hospitals · Pinehurst, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340115
Location155 Memorial DrivePinehurst, NC 28374 · Moore County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.09
Promoting Interoperability84
Improvement Activities40
Cost100

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.

Counselor (Professional)
1104 S MAIN ST STE A
LEXINGTON, NC 27292
Social Worker (Clinical)
1104 S MAIN ST STE A
LEXINGTON, NC 27292
Licensed Practical Nurse
1104 S MAIN ST STE A
LEXINGTON, NC 27292
Counselor (Addiction (Substance Use Disorder))
1104 S MAIN ST STE A
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.

What insurance does Marlene Hnilica accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan 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 23 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.