Active NPI
Marie Renzi, FNP-BC
- Nurse Practitioner
- Milford, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LG-0000626
- Practice address
- 201 W Liberty Way
Milford, DE 19963-5399 - Phone
- (302) 424-3694
- Fax
- (302) 424-3697
- NPI assigned
- Aug 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LG-0000626 | DE | Primary |
Addresses
Primary practice location
201 W Liberty Way
Milford, DE 19963-5399
Mailing address
4923 Ogletown Stanton Rd
Suite 200
Newark, DE 19713-2081
Phone (302) 225-0451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295081834 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121019000565 | DE | Practitioner - Nurse Practitioner | 3577713965 | Reassigns benefits to 1 organization |
| I20231204000230 | PA | Practitioner - Nurse Practitioner | 3577713965 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Penn-Medical Group
Practice addresses (Care Compare)
3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
3400 Civic Ctr Blvd 2ND FLR W
Advanced Internal Med
Philadelphia, PA 19104-5127
Phone (215) 615-5252
3801 Filbert St Mab
102 Penn Center for Primary Care
Philadelphia, PA 19104-2640
Phone (215) 662-9990
51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-9436
51 N 39TH Street Mab
Philadelphia, PA 19104-2640
Phone (215) 662-9990
51 N 39TH Stret
Hospital Med Presby
Philadelphia, PA 19104-2640
Phone (215) 662-9990
Hospital & facility affiliations
- Hospital of Univ of Pennsylvania
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000626 | DE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn - Medical Group | Current | Accepting new patients | |
| University of Penn - Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Atlantic General Hospital Corporation | Nurse Practitioner | Past | Accepting new patients |
Locations
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104
Interoperability endpoints
- marierenzi@agh.allscriptsdirect.net
Organizations & group practices 19
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.
-
- Transplant Surgery Physician
- Newark, DE
- NPI 1720553001
-
- Cardiovascular Disease Physician
- Philadelphia, PA
- NPI 1093725145
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1477660173
-
- Geriatric Medicine (Internal Medicine) Physician
- Philadelphia, PA
- NPI 1497767495
-
- Endocrinology, Diabetes & Metabolism Physician
- Philadelphia, PA
- NPI 1568579266
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1629181912
-
- Clinical Genetics (M.D.) Physician
- Philadelphia, PA
- NPI 1912014614
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1043670805
-
- Clinical Medical Laboratory
- Philadelphia, PA
- NPI 1184012569
-
- Infectious Disease Physician
- Philadelphia, PA
- NPI 1194832899
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1295081834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 OGLETOWN STANTON RD",
"address_2": "SUITE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132081",
"telephone_number": "302-225-0451",
"fax_number": "302-225-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W LIBERTY WAY",
"city": "MILFORD",
"state": "DE",
"postal_code": "199635399",
"telephone_number": "302-424-3694",
"fax_number": "302-424-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENZI",
"first_name": "MARIE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0000626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295081834",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.