MARGUERITE G ROOT (APRN) – Family Nurse Practitioner, NPI 1104391531

MARGUERITE G ROOT (APRN) is a healthcare provider. based in Burkesville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3012786 (KY). The NPI Number for MARGUERITE G ROOT (APRN) is 1104391531

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARGUERITE G ROOT (APRN)
NPI
1104391531
Phone
(270) 858-6655
Address
PO BOX 1080
Enumeration Date
12 October 2018
Last Update Date
16 June 2023

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6068022300
Graduation Year
2018 (8 years ago)
PAC ID
0042563942
Group Practice PAC ID
0446309058
Professional Enrollment ID
I20181023001463
Address ID
KY425032813SO26XXXWAYX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MARGUERITE G ROOT (APRN)

  • PO BOX 1080

    BURKESVILLE, KY 427171080

    Phone: (270) 858-6655

    Fax: (270) 858-4027

    Type: Mailing

  • 197 WILL WALKER RD

    COLUMBIA, KY 427287436

    Phone: (270) 384-9981

    Fax: (270) 384-9987

    Type: Location

  • 1025 S MAIN STREET

    MONTICELLO, KY 426332762

    Phone: (606) 340-8870

    Fax: (606) 340-9828

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,062.

Total Amount is formed as General ($1,062) + Research ($0) + Ownership ($0) = $1,062.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($215).

Total Amount

$1,062

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,062

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181023001463INurse PractitionerKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42717)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446309058View full group profile
NameSpecialtyState
Physician AssistantIN
Physician AssistantKY
Nurse PractitionerKY
R H E U M A T O L O G YKY
Rheumatology, Internal MedicineKY
R H E U M A T O L O G YIN
R H E U M A T O L O G YKY
Nurse PractitionerKY
R H E U M A T O L O G YKY
R H E U M A T O L O G YKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARGUERITE G ROOT (APRN)?
MARGUERITE G ROOT (APRN) — NPI 1104391531 — is the standard way to identify this listing.
Is MARGUERITE G ROOT (APRN) still practicing?
MARGUERITE G ROOT (APRN) is currently listed as active in the public NPI registry.
What is MARGUERITE G ROOT (APRN)'s primary classification?
Family Nurse Practitioner is the headline specialty for MARGUERITE G ROOT (APRN) here. Clinical services aligned with this taxonomy classification.
Where should I expect MARGUERITE G ROOT (APRN) on a map?
Expect Burkesville, Kentucky as a primary anchor for MARGUERITE G ROOT (APRN) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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