Individual provider Active NPI

Marilyn Lebiednik, NP-C

  • Nurse Practitioner
  • Rome, NY
National Provider Identifier
1174194674
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
347869 Issued in NY
Practice address
1500 N James St
Rome, NY 13440-2844
Phone
(315) 338-7000
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 347869 NY Primary

Addresses

Primary practice location

1500 N James St
Rome, NY 13440-2844

Mailing address

1500 N James St
Rome, NY 13440-2844

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
I20210927000172 NY Practitioner - Nurse Practitioner 8224435789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of Ny Upstate Medical University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rome Memorial Hospital, Inc.Group PAC ID 9638087273, 56 clinicians

Practice addresses (Care Compare)

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7021

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
347869NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Memorial Hospital, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Rome Memorial Hospital, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Rome Memorial Hospital, Inc. Past Accepting new patients

Locations

107 E Chestnut St
Ste 102
Rome, NY 13440
Phone (315) 338-9200

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

Interoperability endpoints

  • Direct secure messaging: mlebiednik@rmh.medalliesdirect.net
  • Direct secure messaging: mlebiednik@rmhclinics.medentdirect.com

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1174194674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N JAMES ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N JAMES ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402844",
            "telephone_number": "315-338-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBIEDNIK",
        "first_name": "MARILYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "347869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.