Joann C Aubrey Marvel , FNP
Nurse Practitioner • Lewes, DE
16644 Shoal Rd
Lewes, DE 199587006
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 1, 2012; this date does not establish years in practice.
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Published CMS data list 2,928 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99308 — Subsequent nursing facility care with straightforward level of medical decision making, per day: 2,365 service units.
- 99309 — Subsequent nursing facility care with moderate level of medical decision making, per day: 563 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 118 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin — 37 prescription fills, including refills.
- Atorvastatin Calcium — 21 prescription fills, including refills.
- Amlodipine Besylate — 19 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 6 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Lewes, DE (2024, 19 clinicians with data). Median for this group: 678. Middle half: 399 to 1,098.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Delaware (2024, 220 clinicians with data). Median for this group: 372. Middle half: 118 to 824.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 2,422 in 2020 to 2,928 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
16644 Shoal Rd
Lewes, DE 199587006
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Georgetown, DE. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Golden Oak Medical Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2012
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
554 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $195,958 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $155,256 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
118 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$2,030 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $16.28 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2012
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Joann Marvel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Joann Marvel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Lewes and Delaware
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Lewes, DE (2024, 19 clinicians with data). Median for this group: 678. Middle half: 399 to 1,098.
More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Delaware (2024, 220 clinicians with data). Median for this group: 372. Middle half: 118 to 824.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Lewes, DE (2024, 19 clinicians with data). Median for this group: $53,365. Middle half: $27,964 to $89,312.
A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Delaware (2024, 220 clinicians with data). Median for this group: $27,904. Middle half: $10,080 to $59,546.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Lewes, DE (2024, 19 clinicians with data). Median for this group: $40,808. Middle half: $19,673 to $66,304.
A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Delaware (2024, 220 clinicians with data). Median for this group: $20,169. Middle half: $7,749 to $44,071.
Medicare Part D prescriptions
Fewer Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Lewes, DE (2024, 25 clinicians with data). Median for this group: 409. Middle half: 118 to 1,718.
Fewer Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Delaware (2024, 238 clinicians with data). Median for this group: 427. Middle half: 115 to 1,455.
Part D drug cost
A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Lewes, DE (2024, 25 clinicians with data). Median for this group: $37,915. Middle half: $3,091 to $300,611.
A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Delaware (2024, 238 clinicians with data). Median for this group: $41,667. Middle half: $2,414 to $216,454.
43 active clinicians are listed under Nurse Practitioner with a practice address in Lewes, DE (547 in Delaware).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lewes
20.9% of these 43 clinicians have the CMS telehealth indicator.
65.1% of these 43 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 21% from 2,422 in 2020 to 2,928 in 2024.
- 2020: 2,422
- 2021: 1,501
- 2022: 4,361
- 2023: 4,511
- 2024: 2,928
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $200,149 in 2020 and $195,958 in 2024.
- 2020: $200,149
- 2021: $122,596
- 2022: $260,982
- 2023: $296,771
- 2024: $195,958
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Paid by Medicare
Paid by Medicare varied from year to year: $156,226 in 2020 and $155,256 in 2024.
- 2020: $156,226
- 2021: $91,026
- 2022: $207,602
- 2023: $229,014
- 2024: $155,256
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 97% from 4,420 in 2020 to 118 in 2024.
- 2020: 4,420
- 2021: 3,743
- 2022: 521
- 2023: 223
- 2024: 118
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30-day fills
30-day fills decreased 97% from 4,437 in 2020 to 118 in 2024.
- 2020: 4,437
- 2021: 3,749
- 2022: 521
- 2023: 223
- 2024: 118
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Part D drug cost
Part D drug cost decreased 99% from $167,322 in 2020 to $2,030 in 2024.
- 2020: $167,322
- 2021: $221,877
- 2022: $39,514
- 2023: $16,636
- 2024: $2,030
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $120.97 in 2023 to $16.28 in 2025.
- 2023: $120.97
- 2025: $16.28
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $16.28.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Indivior Inc. |
Food and Beverage
In-kind items and services
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SUBLOCADE | General | $16.28 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99308
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
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2,365 | 452 | $176.77 | $61.63 |
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99309
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
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563 | 404 | $264.94 | $89.17 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 37 | 1,080 | $712.62 | 11 |
| Atorvastatin Calcium | Atorvastatin Calcium | 21 | 630 | $357.44 | 11 |
| Amlodipine Besylate | Amlodipine Besylate | 19 | 570 | $109.69 | — |
| Omeprazole | Omeprazole | 18 | 510 | $345.68 | — |
| Sertraline Hcl | Sertraline Hcl | 12 | 360 | $29.28 | — |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 11 | 190 | $475.64 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-02-14NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20121213000381
DE
1658523964
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Golden Oak Medical Llc
301 Ocean View Blvd, Lewes, DE 199581269
Phone: 7185986808
Secondary Practice Locations
20930 Dupont Blvd Unit 101
Georgetown, DE 199471723
Phone: 3028563737
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 16644 SHOAL RD, LEWES, DE 199587006 (Tel: 3022714669)
Registered at 16644 SHOAL RD, LEWES, DE 199587006 (Tel: 3022714669)
NPI status registered as active in NPPES database
Registered at 20930 DUPONT BLVD UNIT 101, GEORGETOWN, DE 199471723 (Tel: 3028563737)
Registered at PO BOX 200728, PITTSBURGH, PA 152510728 (Tel: 3028569191)
Recorded as JOANN MARVEL, FNP
Nurse Practitioner (license number reported to NPPES: DE APN0001692)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Lewes
- Stephen Israel, NP
- Kimberly Beddow
- Katalin Vanegas, APNP
- Dawn Knowles
- Lydia Martin, APRN, FNP
- Sylvia Oppong-Antwi, CRNP
Mailing Address
16644 Shoal Rd
Lewes, DE 199587006
Phone: 3022714669