Individual provider Active NPI

Marian Proffitt

  • Family Nurse Practitioner
  • Weirton, WV
National Provider Identifier
1710429162
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN71193NP Issued in WV
Practice address
651 Colliers Way Ste 300
Suite 208
Weirton, WV 26062-5058
Phone
(304) 797-6404
NPI assigned
Nov 15, 2016
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 APRN71193NP WV Primary

Addresses

Primary practice location

651 Colliers Way Ste 300
Suite 208
Weirton, WV 26062-5058

Mailing address

651 Colliers Way Ste 300
Suite 208
Weirton, WV 26062-5058

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marian.proffitt@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170315000505 WV Practitioner - Nurse Practitioner 3375828346 Reassigns benefits to 1 organization
I20180607000343 OH Practitioner - Nurse Practitioner 3375828346 Reassigns benefits to 3 organizations
I20210122001147 PA Practitioner - Nurse Practitioner 3375828346 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN71193NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Oct 9, 2020 Accepting new patients
Wissam Khoury DPM LLC CurrentSince Dec 15, 2025 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jan 1, 2021 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Upmc Community Medicine Inc CurrentSince Oct 9, 2020 Accepting new patients
Wound Care Consultants LLC Family CurrentSince Oct 14, 2024 Accepting new patients

Locations

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

8511 Main St
Kinsman, OH 44428
Phone (330) 876-1662

6789 Ridge Rd
Ste 305
Parma, OH 44129
Phone (440) 491-8334

4100 Johnson Rd
Ste 208
Steubenville, OH 43952
Phone (740) 264-7800

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Organizations & group practices 7

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1710429162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 300",
            "address_2": "SUITE 208",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 300",
            "address_2": "SUITE 208",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625058",
            "telephone_number": "304-797-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFITT",
        "first_name": "MARIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN71193NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marian.proffitt@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

Verify at the official NPI Registry.