CAITLIN JULIA MARCHENKO (NP) – Family Nurse Practitioner, NPI 1104114792

CAITLIN JULIA MARCHENKO (NP) is a healthcare provider. based in Plymouth, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 282212 (MA). The NPI Number for CAITLIN JULIA MARCHENKO (NP) is 1104114792

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
CAITLIN JULIA MARCHENKO (NP)
NPI
1104114792
Phone
(508) 210-5925
Address
46 OBERY ST
Enumeration Date
15 July 2011
Last Update Date
4 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5082105920
Graduation Year
2011 (15 years ago)
PAC ID
0345410296
Group Practice PAC ID
1254321086
Professional Enrollment ID
I20110831000738
Address ID
MA023602237PL46XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for CAITLIN JULIA MARCHENKO (NP)

  • 46 OBERY ST

    DEPT OF NEUROLOGY AND NEUROSURGERY

    PLYMOUTH, MA 023602130

    Phone: (508) 210-5925

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Integra LifeSciences Corporation ($20).

Total Amount

$46

General + Research + Ownership

Payments

3

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2011-08-31

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
I20110831000738INurse PractitionerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes162119$0
99213Established patient office or other outpatient visit, 20-29 minutes10785$0
99215Established patient office or other outpatient visit, 40-54 minutes6250$0
99204New patient office or other outpatient visit, 45-59 minutes3535$0
99205New patient office or other outpatient visit, 60-74 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 02360)

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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: 1254321086View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YMA
Physician AssistantMA
Certified Nurse Midwife (Cnm)MA
Physician AssistantMO
Nurse PractitionerMA
Thoracic SurgeryMA
H E M A T O L O G Y/ O N C O L O G YMA
-MA
General SurgeryMA
Radiation OncologyMA

Reviews

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Frequently asked questions

Can I use this page to confirm CAITLIN JULIA MARCHENKO (NP)'s NPI?
Yes. CAITLIN JULIA MARCHENKO (NP) is listed with NPI 1104114792 in the public NPI dataset.
Is CAITLIN JULIA MARCHENKO (NP) still practicing?
CAITLIN JULIA MARCHENKO (NP) is currently listed as active in the public NPI registry.
What taxonomy line describes CAITLIN JULIA MARCHENKO (NP)?
For research purposes, treat CAITLIN JULIA MARCHENKO (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CAITLIN JULIA MARCHENKO (NP) on a map?
Expect Plymouth, Massachusetts as a primary anchor for CAITLIN JULIA MARCHENKO (NP) unless the record lists multiple sites.
Why does CAITLIN JULIA MARCHENKO (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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