Nancy Marcum, APRN
NPI 1255151940 · Nurse Practitioner · Lexington, KY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nancy Marcum, APRN is a Nurse Practitioner provider in Lexington, KY (NPI 1255151940).
Provider details
- NPI number
- 1255151940
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4028831 (KY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
1 yr in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
80 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 29 | $59 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 21 | $106 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, at Least 10 Minutes99307 | 19 | $32 |
| Initial Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 35 Minutes99305 | 11 | $106 |
Typical Medicare-allowed amounts for these services range $32–$106 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 2700 Old Rosebud Rd Ste 330Lexington, KY 40509-8630Phone: (859) 523-1776Fax: (859) 788-7150
Registry dates
- Enumerated
- 2024-10-16
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Frequently asked questions
- What is Nancy Marcum's NPI number?
- Nancy Marcum's National Provider Identifier (NPI) is 1255151940, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nancy Marcum's specialty?
- Nancy Marcum is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nancy Marcum located?
- Nancy Marcum's practice location on file with NPPES is 828 Lane Allen Rd Ste 219, Lexington, KY 40504-3659.
- What is Nancy Marcum's phone number?
- The practice phone number listed in the NPPES registry for Nancy Marcum is (443) 383-9300.
- Does Nancy Marcum accept Medicare?
- Nancy Marcum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nancy Marcum's NPI active?
- Yes — Nancy Marcum's NPI (1255151940) is active in the NPPES registry as of the last update on 2026-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.