Individual provider Active NPI

Susan Roberta Marshall-Erven, CRNP

  • Nurse Practitioner
  • Erie, PA
National Provider Identifier
1720530710
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP016685 Issued in PA
Practice address
2500 W 12TH St
Erie, PA 16505-4500
Phone
(814) 838-9000
Fax
(814) 838-0436
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016685 PA Primary

Addresses

Primary practice location

2500 W 12TH St
Erie, PA 16505-4500

Mailing address

2500 W 12TH St
Erie, PA 16505-4500
Phone (814) 838-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170109000830 PA Practitioner - Nurse Practitioner 5496036352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Association IncGroup PAC ID 9830003300, 201 clinicians

Practice addresses (Care Compare)

2500 W 12TH St
Erie, PA 16505-4500
Phone (814) 838-9000

Hospital & facility affiliations

  • Upmc Hamot Hospital, Erie, PA, CCN 390063

Merit-based Incentive Payment System (MIPS)

Final score
64.81 of 100Reported as group
Quality
42.46
Improvement activities
40
Cost
76.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016685PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Association Inc CurrentSince Nov 1, 2018 Accepting new patients
Oncology Hematology Association CurrentSince Nov 1, 2018 Accepting new patients

Locations

2500 W 12th St
Erie, PA 16505
Phone (814) 838-9000

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

Interoperability endpoints

  • Direct secure messaging: smarshallerven162814@upmc.direct-ci.com
  • Direct secure messaging: susan.marshallerven@upmcdirect.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 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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1720530710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054500",
            "telephone_number": "814-838-9000",
            "fax_number": "814-838-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054500",
            "telephone_number": "814-838-9000",
            "fax_number": "814-838-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL-ERVEN",
        "first_name": "SUSAN",
        "middle_name": "ROBERTA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.