Individual provider Active NPI

Marianne Elizabeth St John, FNP

  • Family Nurse Practitioner
  • East Amherst, NY
National Provider Identifier
1053699041
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336922 Issued in NY
Practice address
8770 Transit Rd Ste 3
East Amherst, NY 14051-1786
Phone
(716) 245-4431
Fax
(716) 245-4432
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F336922 NY Primary

Addresses

Primary practice location

8770 Transit Rd Ste 3
East Amherst, NY 14051-1786

Mailing address

8770 Transit Rd Ste 3
East Amherst, NY 14051-1786
Phone (716) 245-4431

Other identifiers 1

IdentifierTypeStateIssuer
03389044MedicaidNY

Other names 1

  • Marianne Elizabeth McGinty Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000352 NY Practitioner - Nurse Practitioner 6103086764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Buffalo School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8207 Main St
Suite 5
Williamsville, NY 14221-6060
Phone (716) 245-4431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F336922NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St John NP in Family Health PLLC CurrentSince Feb 5, 2018 Accepting new patients
Soh Skin & Surgery, PLLC CurrentSince Oct 1, 2021 Accepting new patients
Integrative Pain & Wellness Associates, LLC PastSince Feb 28, 2017 Accepting new patients

Locations

8770 Transit Rd
Ste 3
East Amherst, NY 14051
Phone (716) 245-4431

2809 Wehrle Dr
Ste 1
Williamsville, NY 14221
Phone (716) 245-4431

8207 Main St
Ste 5
Williamsville, NY 14221
Phone (716) 245-4431

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1053699041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8770 TRANSIT RD STE 3",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511786",
            "telephone_number": "716-245-4431",
            "fax_number": "716-245-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 TRANSIT RD STE 3",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511786",
            "telephone_number": "716-245-4431",
            "fax_number": "716-245-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JOHN",
        "first_name": "MARIANNE",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03389044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "MCGINTY",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Amherst, NY

Sources for this page

Verify at the official NPI Registry.