Provider Profile
Listed in the NPI registry as a nurse practitioner, Gretchen A. Machesney, NP practices in La Plata, MD. Gretchen is also listed as specializing in nurse practitioner — acute care. Medicare claims data shows Gretchen provided 128 services to 109 patients. The services billed most often include initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes, subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes, and hospital discharge day management, more than 30 minutes. NPI 1134658867 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
5 GARRETT AVE
La Plata, MD 20646
128 services · 109 patients · 3 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
69 | More often than most peers in Nurse Practitioner |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Office visit | 99233 |
48 | As often as other peers in Nurse Practitioner |
| Hospital discharge day management, more than 30 minutes | Office visit | 99239 |
11 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Gretchen A. Machesney is a nurse practitioner in La Plata, MD. That is the designation recorded for this NPI in the federal registry.
NPI registry
Gretchen A. Machesney is listed at 5 Garrett Ave, La Plata, MD 20646. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (301) 609-5439. Contact the office directly to confirm availability and scheduling.
NPI registry
Gretchen A. Machesney's National Provider Identifier is 1134658867. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Gretchen A. Machesney attended Other, graduating in 2017. This comes from the CMS National Downloadable File.
CMS public data
Gretchen A. Machesney has 9 years experience. Calculated from a graduation year of 2017, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Gretchen A. Machesney the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Gretchen A. Machesney. If this is you, claiming it is free.
Guide.md
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