Individual provider Active NPI

Marie Elisabeth Marjorie Valles, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Spring Valley, NY
National Provider Identifier
1487206967
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F344740-01 Issued in NY
Practice address
661 N Main St
Spring Valley, NY 10977-2319
Phone
(845) 426-5600
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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 F344740-01 NY Primary

Addresses

Primary practice location

661 N Main St
Spring Valley, NY 10977-2319

Mailing address

661 N Main St
Spring Valley, NY 10977-2319
Phone (845) 426-5600

Other practice location 1

4 Skyline Dr
Thiells, NY 10984-1424
Phone (845) 826-2995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191022002352 NY Practitioner - Nurse Practitioner 0042542136 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visiting Services, LLCGroup PAC ID 2961824842, 31 clinicians
Genesis Medical Health PCGroup PAC ID 9032308267, 44 clinicians

Practice addresses (Care Compare)

240 N Main St
Spring Valley, NY 10977-4020
Phone (845) 374-0410

661 N Main St
Spring Valley, NY 10977-2319
Phone (845) 354-1212

Hospital & facility affiliations

  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F344740-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Urgicare, PLLC CurrentSince Jun 24, 2024 Accepting new patients
Genesis Medical Health PC CurrentSince Oct 15, 2019 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 24, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jun 24, 2024 Accepting new patients
Care Connect Medical P.C. CurrentSince Sep 1, 2023 Accepting new patients
Visiting Medical PC CurrentSince Dec 1, 2025 Accepting new patients
Visiting Services, LLC CurrentSince Sep 23, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 24, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jun 24, 2024 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

15 Monsey Blvd
Monsey, NY 10952
Phone (845) 356-3400

33 Downtown Dr
Fl 3
Monsey, NY 10952
Phone (201) 357-1520

661 N Main St
Spring Valley, NY 10977
Phone (845) 228-3350

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1487206967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109772319",
            "telephone_number": "845-426-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109772319",
            "telephone_number": "845-426-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Thiells",
            "state": "NY",
            "postal_code": "109841424",
            "country_code": "US",
            "telephone_number": "845-826-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLES",
        "first_name": "MARIE",
        "middle_name": "ELISABETH MARJORIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F344740-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.