Individual provider Active NPI

Marlee Holleran

  • Physician Assistant
  • East Syracuse, NY
National Provider Identifier
1023681855
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
026826 Issued in NY
Practice address
281 Sanders Creek Pkwy
East Syracuse, NY 13057-1307
Phone
(315) 454-6000
NPI assigned
Jul 20, 2021
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 026826 NY Primary

Addresses

Primary practice location

281 Sanders Creek Pkwy
East Syracuse, NY 13057-1307

Mailing address

2568 State Route 28
Mohawk, NY 13407-3813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, IL, MI, IN5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20210804002910 NY Practitioner - Physician Assistant 2062816606 Reassigns benefits to 1 organization
I20231016001665 PA Practitioner - Physician Assistant 2062816606 Reassigns benefits to 1 organization
I20231211001071 IL Practitioner - Physician Assistant 2062816606 Reassigns benefits to 2 organizations
I20241214000259 MI Practitioner - Physician Assistant 2062816606 Reassigns benefits to 2 organizations
I20241230002418 IN Practitioner - Physician Assistant 2062816606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

1425 Route 300
Newburgh, NY 12550-2908
Phone (845) 674-9735

1438 Western Ave
Albany, NY 12203-3421
Phone (518) 649-9986

1600 Erie Blvd E
Syracuse, NY 13210-1212
Phone (315) 401-3204

200 E 1St St
Oswego, NY 13126-2662
Phone (315) 207-7391

2524 N Illinois St
Swansea, IL 62226-2353
Phone (618) 212-3144

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

271 Grant Ave
Suite 100
Auburn, NY 13021-1407
Phone (315) 704-6097

3800 W Genesee St
Syracuse, NY 13219-1928
Phone (315) 552-9080

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

445 Balltown Rd
Suite 1
Schenectady, NY 12304-2269
Phone (518) 387-3566

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

5001 State Hwy 23
Oneonta, NY 13820-4508
Phone (607) 376-5346

514 S 2ND St
Fulton, NY 13069-2804
Phone (315) 552-9104

655 E Dubois Ave
Du Bois, PA 15801-3605
Phone (814) 913-3097

6870 E Genesee St
Fayetteville, NY 13066-1031
Phone (315) 679-4367

721 E Main St
Cobleskill, NY 12043-3801
Phone (518) 657-3639

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

8003 Brewerton Rd
Cicero, NY 13039-9528
Phone (315) 288-4006

917 S Saint Marys St
Saint Marys, PA 15857-2828
Phone (814) 389-1026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
026826NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Aug 1, 2021 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 14, 2024 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients

Locations

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

26 Bolivar Dr
Bradford, PA 16701
Phone (814) 817-4690

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1023681855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 STATE ROUTE 28",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134073813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 SANDERS CREEK PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571307",
            "telephone_number": "315-454-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLERAN",
        "first_name": "MARLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.