Active NPI
Erica Lee Marmo, CRNP
- Nurse Practitioner
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP022687
- Practice address
- 1000 E Mountain Dr
Wilkes Barre, PA 18711-0027 - Phone
- (570) 808-7300
- NPI assigned
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F09200601 | PA | |
| Registered Nurse | 163W00000X | RN653698 | PA | |
| Nurse Practitioner | 363L00000X | SP022687 | PA | Primary |
Addresses
Primary practice location
1000 E Mountain Dr
Wilkes Barre, PA 18711-0027
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Other practice location 1
1800 Mulberry St
Scranton, PA 18510-2369
Phone (570) 703-8000
Other practice location 2
100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6211
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN653698 | PA | MD | Registered Nurse |
| F09200601 | PA | MD | Nurse Practitioner |
| SP022687 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Nurse Practitioner | Current | Accepting new patients |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients |
Locations
549 Fair St
Bloomsburg, PA 17815
Phone (570) 387-2100
100 N Academy Ave
Danville, PA 17822
1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100
400 Highland Ave
Lewistown, PA 17044
Phone (717) 242-7473
1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351
3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
Interoperability endpoints
- emarmo301491@direct.geisinger.edu
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Pediatrics Physician
- Scranton, PA
- NPI 1952995482
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1740894492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178224903",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E MOUNTAIN DR",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187110027",
"telephone_number": "570-808-7300"
}
],
"practiceLocations": [
{
"address_1": "1800 Mulberry St",
"address_purpose": "LOCATION",
"city": "Scranton",
"state": "PA",
"postal_code": "185102369",
"country_code": "US",
"telephone_number": "570-703-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 N Academy Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178229800",
"country_code": "US",
"telephone_number": "570-271-6211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARMO",
"first_name": "ERICA",
"middle_name": "LEE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2020-11-11",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "F09200601",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN653698",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP022687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.