Virginia Marcum, APRN
NPI 1619463270 · Family Nurse Practitioner · London, KY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Virginia Marcum, APRN is a Family Nurse Practitioner provider in London, KY (NPI 1619463270).
Provider details
- NPI number
- 1619463270
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3012462 (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 tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,453 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 346 | $60 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 334 | $13 |
| Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able to Identify Individual Drugs and Distinguish Between Structural Isomers (but Not Necessarily Stereoisomers), Including, But Not Limited to Gc/Ms (any Type, Single Or Tandem) and Lc/MsG0481 | 323 | $153 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 249 | $70 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 175 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 2,207 | 368 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 1,903 | 537 |
| Diclofenac Sodium | 383 | 90 |
| Tizanidine Hcl | 378 | 79 |
| Meloxicam | 273 | 51 |
| Pregabalin | 198 | 43 |
| Ropinirole Hcl | 155 | 27 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$238 across 13 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-07-06
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Frequently asked questions
- What is Virginia Marcum's NPI number?
- Virginia Marcum's National Provider Identifier (NPI) is 1619463270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Virginia Marcum's specialty?
- Virginia Marcum is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Virginia Marcum located?
- Virginia Marcum's practice location on file with NPPES is 100 London Mountain View Dr Fl 1, London, KY 40741-6668.
- What is Virginia Marcum's phone number?
- The practice phone number listed in the NPPES registry for Virginia Marcum is (859) 275-5229.
- Does Virginia Marcum accept Medicare?
- Virginia Marcum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Virginia Marcum's NPI active?
- Yes — Virginia Marcum's NPI (1619463270) is active in the NPPES registry as of the last update on 2022-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.