Individual provider Active NPI

Marla H Smith, FNP

  • Family Nurse Practitioner
  • Utica, NY
National Provider Identifier
1508857558
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333394-1 Issued in NY
Practice address
6 Hampden PL
Utica, NY 13502-5631
Phone
(315) 733-2526
Fax
(315) 773-3284
NPI assigned
Oct 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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 F333394-1 NY Primary

Addresses

Primary practice location

6 Hampden PL
Utica, NY 13502-5631

Mailing address

6 Hampden PL
Utica, NY 13502-5631
Phone (315) 733-2526

Other identifiers 1

IdentifierTypeStateIssuer
02797226MedicaidNY

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
I20110325000659 NY Practitioner - Nurse Practitioner 2264615392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial HospitalGroup PAC ID 6103805163, 43 clinicians

Practice addresses (Care Compare)

117 W Main St
Waterville, NY 13480-1165
Phone (315) 841-4184

150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-4600

220 Tower St
Waterville, NY 13480-1128
Phone (315) 841-4156

Hospital & facility affiliations

  • Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316
  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F333394-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Current Accepting new patients
Community Memorial Hospital CurrentSince Nov 5, 2018 Accepting new patients

Locations

3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346
Phone (315) 648-6411

3460 South St
Morrisville, NY 13408
Phone (315) 684-3117

5180 S Main St
Munnsville, NY 13409
Phone (315) 495-2690

117 W Main St
#2
Waterville, NY 13480
Phone (315) 841-4184

117 W Main St
Waterville, NY 13480
Phone (315) 841-4178

Interoperability endpoints

  • Direct secure messaging: msmith@cmhhamilton.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1508857558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HAMPDEN PL",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025631",
            "telephone_number": "315-733-2526",
            "fax_number": "315-773-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HAMPDEN PL",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025631",
            "telephone_number": "315-733-2526",
            "fax_number": "315-773-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARLA",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333394-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02797226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.