MARJORIE FRANCES GEORGIN (FNP-BC) – Family Nurse Practitioner, NPI 1609396704
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MARJORIE FRANCES GEORGIN (FNP-BC)
1321 Bellefontaine St
Wapakoneta, OH 458958768
Phone: (567) 356-4054
Type: Location
211, Edgefield Boulevard, Marion Township, Marion County, Ohio, 43302, United States
MARION, OH 433025801
Phone: (740) 914-4178
Type: Mailing
1 PRESTIGE PL STE 550
MIAMISBURG, OH 453426115
Phone: (937) 762-1310
Fax: (937) 522-8068
Type: Mailing
1321, Bellefontaine Street, Rauthland, Wapakoneta, Auglaize County, Ohio, 45895, United States
WAPAKONETA, OH 458958768
Phone: (567) 356-4054
Type: Location
1430 OAK CT STE 100
BEAVERCREEK, OH 454301064
Phone: (937) 404-1101
Fax: (937) 404-1210
Type: Mailing
3813 S HAMILTON RD
GROVEPORT, OH 431259330
Phone: (614) 835-0400
Fax: (614) 835-0400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-06-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170630002106 | I | Nurse Practitioner | OH | TBD |
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.
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 45895)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | OH | |
| - | OH | |
| - | PA | |
| - | OH | |
| Physician Assistant | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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