Marina Pulimoottil Ninan, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP015857 Issued in PA

Practice address

108 Lowther St
Internists of Central PA
Lemoyne, PA 17043-2045

Phone

(717) 774-1366

NPI assigned

Feb 17, 2016

Last updated

Feb 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Internists of Central Pennsylvania LTD.

  • Internal Medicine Physician
  • Lemoyne, PA
  • NPI 1659337210
  Medicare reassignment NPD

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1386003465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LOWTHER ST",
            "address_2": "INTERNISTS OF CENTRAL PA",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170432045",
            "telephone_number": "717-774-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LOWTHER ST",
            "address_2": "INTERNISTS OF CENTRAL PA",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170432045",
            "telephone_number": "717-774-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULIMOOTTIL NINAN",
        "first_name": "MARINA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Health Medicare Services (FMC of Lemoyne)
• Dinesh Poudyal, M.D.
• Amanda Powell, D.O.
• Aaron Pridmore, LCSW
• Psychiatric Associates of Central Pennsylvania
• Pulmonary & Critical Care Medicine Associates
• Megan B Quain, P.T.
• Lawrence A. Rand, O.D.
• Patrick Ratnasamy, MD
• Scott Michael Readence, M.D.

• Family Nurse Practitioner in Lemoyne, PA
• Providers in Lemoyne, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.