Individual provider Active NPI

Brittany Marino

  • Family Medicine Physician
  • Butler, PA
National Provider Identifier
1295317345
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN723890 Issued in PA
Practice address
1140 N Main Street Ext
Butler, PA 16001-1957
Phone
(636) 887-1011
NPI assigned
Apr 27, 2021
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 2017024664 MO
Family Medicine Physician 207Q00000X RN723890 PA Primary

Addresses

Primary practice location

1140 N Main Street Ext
Butler, PA 16001-1957

Mailing address

1060 Stonebrooke LN
Wentzville, MO 63385-3158
Phone (636) 887-1011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220304002091 PA Practitioner - Nurse Practitioner 2860886983 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017024664MOMDMedical-Surgical Registered Nurse
RN723890PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geskin Medical LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

1633 Route 51
Ste 105
Jefferson Hls, PA 15025
Phone (412) 775-2019

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, 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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1295317345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 STONEBROOKE LN",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853158",
            "telephone_number": "636-887-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N MAIN STREET EXT",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011957",
            "telephone_number": "636-887-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MO",
            "license": "2017024664",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "RN723890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.