Individual provider Active NPI

Susan M Marmion, MS, APRN-BC, FNP

  • Family Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1235338468
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335218-1 Issued in NY
Practice address
701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Phone
(716) 995-4450
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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 F335218-1 NY Primary

Addresses

Primary practice location

701 Seneca St Ste 646C
Buffalo, NY 14210-1351

Mailing address

2128 Elmwood Ave
Buffalo, NY 14207-1910
Phone (716) 874-4500

Other practice location 1

2128 Elmwood Ave
Buffalo, NY 14207-1910
Phone (716) 874-4500 ext. 5007

Other identifiers 4

IdentifierTypeStateIssuer
00028181501OtherNYUNIVERA
000529528001OtherNYBLUE CROSS
9514375OtherNYINDEPENDENT HEALTH
02903602MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, NJ, PA, OH, WV, KY7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20080102000477 NY Practitioner - Nurse Practitioner 7012097157 Reassigns benefits to 1 organization
I20230221002968 CT Practitioner - Nurse Practitioner 7012097157 Reassigns benefits to 1 organization
I20230302003006 NJ Practitioner - Nurse Practitioner 7012097157 Reassigns benefits to 1 organization
I20231225000064 PA Practitioner - Nurse Practitioner 7012097157 Reassigns benefits to 1 organization
I20231228003561 OH Practitioner - Nurse Practitioner 7012097157 Reassigns benefits to 1 organization
I20240502003900 WV Practitioner - Nurse Practitioner 7012097157 Reassigns benefits to 1 organization
I20250310002237 KY Practitioner - Nurse Practitioner 7012097157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

152 Campmeeting Rd
Bolton, CT 06043-7528

3525 White Plains Rd
Bronx, NY 10467-5705

791 White Pond Dr
Akron, OH 44320-1136
Phone (330) 805-8939

800 Grand Central Mall
Suite 8
Vienna, WV 26105-4100
Phone (304) 917-4124

8037 Dixie Hwy
Louisville, KY 40258-1344
Phone (800) 424-6589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
335218NYMDLicensed Practical Nurse
F335218-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagehealth DM LLC CurrentSince Oct 6, 2021 Accepting new patients

Locations

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

8037 Dixie Hwy
Louisville, KY 40258
Phone (502) 937-9111

14-20 Prospect St
East Orange, NJ 07017
Phone (720) 631-1142

3525 White Plains Rd
Bronx, NY 10467

791 White Pond Dr
Akron, OH 44320
Phone (330) 805-8939

2476 Swedesford Rd
Ste 150
Malvern, PA 19355
Phone (720) 631-1142

800 Grand Central Mall
Ste 8
Vienna, WV 26105
Phone (304) 917-4124

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: smarmion@landmarkhealth-direct.org

Organizations & group practices 1

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1235338468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 ELMWOOD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071910",
            "telephone_number": "716-874-4500",
            "fax_number": "716-874-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SENECA ST STE 646C",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101351",
            "telephone_number": "716-995-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2128 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142071910",
            "country_code": "US",
            "telephone_number": "716-874-4500 x5007",
            "fax_number": "716-874-3195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARMION",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS, APRN-BC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335218-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00028181501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000529528001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9514375",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02903602",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.