Individual provider Active NPI

Mary Marzouk, CRNP

  • Family Nurse Practitioner
  • Chambersburg, PA
National Provider Identifier
1780415984
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030134 Issued in PA
Practice address
2700 Luther Dr
Chambersburg, PA 17202-8131
Phone
(717) 261-1251
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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 SP030134 PA Primary

Addresses

Primary practice location

2700 Luther Dr
Chambersburg, PA 17202-8131

Mailing address

2700 Luther Dr
Chambersburg, PA 17202-8131
Phone (717) 261-1251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241022003200 PA Practitioner - Nurse Practitioner 4587196050 Reassigns benefits to 2 organizations
I20260218002015 MD Practitioner - Nurse Practitioner 4587196050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians

Practice addresses (Care Compare)

210 Big Spring Rd
Newville, PA 17241-9497
Phone (337) 991-9276

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CNP Operating Co LLC CurrentSince Jan 6, 2026 Accepting new patients
Curana Health of Pennsylvania PC CurrentSince Oct 16, 2024 Accepting new patients
PA Post Acute Services PC CurrentSince Jan 6, 2026 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

526 N Saint Cloud St
#1601
Allentown, PA 18104

210 Big Spring Rd
Newville, PA 17241
Phone (717) 776-3192

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1780415984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 LUTHER DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172028131",
            "telephone_number": "717-261-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 LUTHER DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172028131",
            "telephone_number": "717-261-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZOUK",
        "first_name": "MARY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.