Individual provider Active NPI

Marianne Miles, NP, PHD

  • Psychiatric/Mental Health Nurse Practitioner
  • Canandaigua, NY
National Provider Identifier
1568577880
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
400699 Issued in NY
Practice address
23 North St Ste G
Canandaigua, NY 14424-1053
Phone
(585) 455-0068
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 400699 NY Primary

Addresses

Primary practice location

23 North St Ste G
Canandaigua, NY 14424-1053

Mailing address

5770 Smith Rd
Canandaigua, NY 14424-8927
Phone (585) 396-0406

Other practice location 1

2613 W Henrietta Rd
Rochester, NY 14623-2327
Phone (585) 455-0068

Other practice location 2

35 North St
Canandaigua, NY 14424-1075
Phone (585) 394-0530

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
I20090109000146 NY Practitioner - Nurse Practitioner 4385707876 Reassigns benefits to 5 organizations
Practice locations: Canandaigua, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42 N Main St
Canandaigua, NY 14424-1446
Phone (585) 919-0014

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
400699NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Network, Inc. CurrentSince Mar 20, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 2, 2024 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Mar 20, 2018 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 2, 2024 Accepting new patients
Rochester General Hospital CurrentSince Mar 20, 2018 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 2, 2024 Accepting new patients
Rochester General Hospital CurrentSince Mar 20, 2018 Accepting new patients
Rochester General Hospital Current Accepting new patients

Locations

35 North St
Canandaigua, NY 14424
Phone (585) 349-0530

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

490 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-2500

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1568577880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 SMITH RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248927",
            "telephone_number": "585-396-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NORTH ST STE G",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241053",
            "telephone_number": "585-455-0068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2613 W Henrietta Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146232327",
            "country_code": "US",
            "telephone_number": "585-455-0068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 North St",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241075",
            "country_code": "US",
            "telephone_number": "585-394-0530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "NP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "400699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.