Individual provider Active NPI

Marianne M Blair, FNP-C, AGACNP-BC

  • Family Nurse Practitioner
  • Hammonton, NJ
National Provider Identifier
1356854350
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00770300 Issued in NJ
Practice address
421 Wilbur Ave
Hammonton, NJ 08037-1355
Phone
(609) 576-0854
NPI assigned
Nov 13, 2017
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 26NJ00770300 NJ Primary

Addresses

Primary practice location

421 Wilbur Ave
Hammonton, NJ 08037-1355

Mailing address

421 Wilbur Ave
Hammonton, NJ 08037-1355
Phone (609) 576-0854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, FL, DE, WA, OH6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20230404001873 NJ Practitioner - Nurse Practitioner 2062887037 Reassigns benefits to 4 organizations
I20241007000167 PA Practitioner - Nurse Practitioner 2062887037 Reassigns benefits to 4 organizations
I20260401001592 FL Practitioner - Nurse Practitioner 2062887037 Reassigns benefits to 3 organizations
I20260401003893 DE Practitioner - Nurse Practitioner 2062887037 Reassigns benefits to 2 organizations
I20260504005398 WA Practitioner - Nurse Practitioner 2062887037 Reassigns benefits to 2 organizations
I20260512000826 OH Practitioner - Nurse Practitioner 2062887037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians
Lumina Care Medical NJ LLCGroup PAC ID 6608305156, 60 clinicians

Practice addresses (Care Compare)

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (212) 734-6621

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

25 E Lindsley Rd
Cedar Grove, NJ 07009-1023
Phone (212) 734-6621

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00770300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rebman BH LLC CurrentSince Dec 25, 2025 Accepting new patients
Topaz Bay Senior Health PC CurrentSince Aug 18, 2025 Accepting new patients
Valley Physician Services PC CurrentSince Jan 1, 2023 Accepting new patients
Dr Rebman Medical PA CurrentSince Dec 16, 2025 Accepting new patients
Ivy Medical Group PLLC CurrentSince Oct 1, 2025 Accepting new patients
Lumina Care Medical NJ LLC CurrentSince Oct 28, 2025 Accepting new patients
Tapestry Telehealth PLLC CurrentSince Jan 7, 2023 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

25 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (201) 647-8035

101 N Grove St
East Orange, NJ 07017
Phone (973) 672-1700

115 Dutch Lane Rd
Freehold, NJ 07728
Phone (732) 431-7420

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

885 3rd Ave
New York, NY 10022
Phone (212) 906-1200

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

1130 W Chester Pike
West Chester, PA 19382
Phone (215) 815-7500

Organizations & group practices 8

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1356854350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 WILBUR AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371355",
            "telephone_number": "609-576-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 WILBUR AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371355",
            "telephone_number": "609-576-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MARIANNE",
        "middle_name": "M",
        "credential": "FNP-C, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00770300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.