Active NPI
Lori L Marshall, NP
- Family Nurse Practitioner
- Oswego, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 340855
- Practice address
- 1 Buccaneer Blvd
Oswego, NY 13126-1953 - Phone
- (315) 602-9000
- Fax
- (315) 282-2538
- NPI assigned
- Jul 18, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 340855 | NY | Primary |
Addresses
Primary practice location
1 Buccaneer Blvd
Oswego, NY 13126-1953
Mailing address
61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6564
Other practice location 1
510 S 4th St
Suite 600
Fulton, NY 13069-2904
Phone (315) 598-4790
Other practice location 2
120 E 1st St
Oswego, NY 13126-2111
Phone (315) 342-0880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Oswego County Health Services, Inc. | Current | Accepting new patients | |
| Northern Oswego County Health Services, Inc. Dba Connextcare | Past | Accepting new patients |
Locations
510 S 4th St
Ste 600
Fulton, NY 13069
Phone (315) 598-4790
1 Buccaneer Blvd
Oswego, NY 13126
Phone (315) 341-2600
10 George St
Oswego, NY 13126
Phone (315) 342-0880
120 E 1st St
Oswego, NY 13126
Phone (315) 342-0880
61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274
Interoperability endpoints
- lori.marshall@nochsi.directbygreenway.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.
-
- Community Health Clinic/Center
- Pulaski, NY
- NPI 1508850280
-
- Community Health Clinic/Center
- Oswego, NY
- NPI 1396145595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1801249594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 DELANO ST",
"city": "PULASKI",
"state": "NY",
"postal_code": "131421400",
"telephone_number": "315-298-6564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BUCCANEER BLVD",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131261953",
"telephone_number": "315-602-9000",
"fax_number": "315-282-2538"
}
],
"practiceLocations": [
{
"address_1": "510 S 4th St",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Fulton",
"state": "NY",
"postal_code": "130692904",
"country_code": "US",
"telephone_number": "315-598-4790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 E 1st St",
"address_purpose": "LOCATION",
"city": "Oswego",
"state": "NY",
"postal_code": "131262111",
"country_code": "US",
"telephone_number": "315-342-0880",
"fax_number": "315-593-6195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "LORI",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-18",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "340855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.