Individual provider Active NPI

Stephanie Gisele Marble, DNAP, CRNA

  • Certified Registered Nurse Anesthetist
  • Sayre, PA
National Provider Identifier
1619036175
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
076390 Issued in NY
Practice address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone
(570) 887-5564
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 076390 NY Primary

Addresses

Primary practice location

1 Guthrie SQ
Sayre, PA 18840-1625

Mailing address

3646 Waits Rd
Owego, NY 13827-6504
Phone (315) 396-6476

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-2526

Other practice location 2

5801 E Taft Rd
Syracuse, NY 13212-3291
Phone (315) 418-4140

Other practice location 3

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Other names 1

  • Stephanie Gisele Russell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070628000188 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577662790 Reassigns benefits to 4 organizations
I20071012000257 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577662790 Reassigns benefits to 3 organizations
I20230919003012 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577662790

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Geneva General Hospital, IncGroup PAC ID 7810809407, 88 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858

196 N St
Geneva, NY 14456-1651
Phone (315) 787-5355

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Hospital & facility affiliations

  • Robert Packer Hospital Hospital, Sayre, PA, CCN 390079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
076390NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Aug 6, 2023 Accepting new patients
Mainehealth Current Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
North American Partners in Anesthesia LLP CurrentSince May 1, 2025 Accepting new patients
Geneva General Hospital, Inc CurrentSince May 1, 2025 Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2017 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jun 1, 2018 Accepting new patients
Mainehealth CurrentSince Aug 6, 2023 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jun 1, 2018 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Medical Oncology Selinsgrove CurrentSince Jun 1, 2017 Accepting new patients
Geneva General Hospital Inc CurrentSince May 1, 2025 Accepting new patients
Geisinger Clinic CurrentSince Jun 1, 2017 Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Upstate Anesthesia Services, P.C. Past Accepting new patients
Upstate Medical Anesthesiology Group, Inc. Past Accepting new patients
United Health Services Hospitals, Inc. Past Accepting new patients
Troy Infectious Disease and Primary Care LLC Past Accepting new patients

Locations

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

7 Southwoods Blvd
Ste 4
Albany, NY 12211

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

196 North St
Geneva, NY 14456
Phone (315) 787-4156

400 W Commons Way
Johnson City, NY 13790

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

5801 E Taft Rd
Syracuse, NY 13212
Phone (315) 418-4140

100 N Academy Ave
Danville, PA 17822

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1619036175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 WAITS RD",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138276504",
            "telephone_number": "315-396-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUTHRIE SQ",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188401625",
            "telephone_number": "570-887-5564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-2526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5801 E Taft Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132123291",
            "country_code": "US",
            "telephone_number": "315-418-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101602",
            "country_code": "US",
            "telephone_number": "315-470-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARBLE",
        "first_name": "STEPHANIE",
        "middle_name": "GISELE",
        "credential": "DNAP, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "076390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "RUSSELL",
            "middle_name": "GISELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sayre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.