Mariebelle Noval Abelarde
Individual provider Active NPI Certified Registered Nurse Anesthetist · Flushing, NY
NPI 1396116604 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1396116604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 111482 (NY)
- Practice address
- 5645 Main St
Flushing, NY 11355-5045 - Phone
- (718) 670-1080
- NPI assigned
- Oct 13, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Weill Medical College of Cornell
Practice addresses (Care Compare)
525 E 68TH St
New York, NY 10065-4870
Phone (212) 746-2846
Hospital & facility affiliations
- New York-Presbyterian/Queens
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181016002819 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9931451184 | Reassigns benefits to 1 organization |
| I20220907001300 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9931451184 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 589147-1 | NY | MD | Registered Nurse |
| 589147 | NY | MD | Critical Care Medicine Registered Nurse |
| 111482 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current |
Accepting new patients | |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Weill Medical College of Cornell | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Current |
Accepting new patients |
Locations
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
525 E 68th St
#585
New York, NY 10065
Phone (212) 746-2059
100 N Academy Ave
Danville, PA 17822
400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 111482 | NY | Yes |
| Registered Nurse | 163W00000X | 589147-1 | NY | |
| Critical Care Medicine Registered Nurse | 163WC0200X | 589147 | NY |
Addresses
Primary practice location
5645 Main St
Flushing, NY 11355-5045
Mailing address
1059 North 7TH Street
New Hyde Park, NY 11040
Phone (516) 395-4532
Other practice location 1
451 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 245-4502
Other providers in Flushing, NY
- Mohammed Abdelrehem
- Farah Abdulaaima
- Ghaith Abdullah
- Eleonora Abdurakhmanov
- Abbas Abedi
- Brian A. Aberger
- Abest Care Inc
- Abi Fi Corp
- Steven Nissim Abijmil
- Able Occupational Therapy Services PC
All providers in Flushing, NY · Certified Registered Nurse Anesthetist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.