Individual provider Active NPI

Marie Nicole Sartori, APRN

  • Nurse Practitioner
  • Florence, KY
National Provider Identifier
1427560697
Registry record updated Mar 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3013235 Issued in KY
Practice address
7766 Ewing Blvd Ste 100
Florence, KY 41042
Phone
(859) 283-1033
Fax
(859) 283-1066
NPI assigned
Oct 27, 2017
Last updated
Mar 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3013235 KY Primary

Addresses

Primary practice location

7766 Ewing Blvd Ste 100
Florence, KY 41042

Mailing address

220 Greenup St Apt 408
Covington, KY 41011-5730
Phone (859) 250-9473

Other practice location 1

7766 Ewing Blvd Ste 100
Florence, KY 41042
Phone (859) 283-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20191001002343 KY Practitioner - Nurse Practitioner 5698005841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Northern Kentucky PSCGroup PAC ID 1153304647, 11 clinicians

Practice addresses (Care Compare)

7766 Ewing Blvd
Suite 100
Florence, KY 41042-7537
Phone 8592861033240

Merit-based Incentive Payment System (MIPS)

Final score
88.38 of 100Reported as group
Quality
83.58
Promoting interoperability
86
Improvement activities
40
Cost
89.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3013235KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Northern Kentucky PSC CurrentSince Aug 24, 2019 Accepting new patients
Proven Cosmetic Dermatology PastSince Aug 28, 2021 Accepting new patients

Locations

7766 Ewing Blvd
#100
Florence, KY 41042
Phone (859) 283-1033

7766 Ewing Blvd
Ste 100
Florence, KY 41042
Phone (859) 283-1033

Interoperability endpoints

  • Direct secure messaging: msartori@dermnky.emadirect.md

Organizations & group practices 2

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": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553904000000",
    "number": "1427560697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 GREENUP ST APT 408",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410115730",
            "telephone_number": "859-250-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7766 EWING BLVD STE 100",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-283-1033",
            "fax_number": "859-283-1066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7766 Ewing Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "41042",
            "country_code": "US",
            "telephone_number": "859-283-1033",
            "fax_number": "859-283-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARTORI",
        "first_name": "MARIE",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2019-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.