Individual provider Active NPI

Lori L Marshall, NP

  • Family Nurse Practitioner
  • Oswego, NY
National Provider Identifier
1801249594
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
340855 Issued in NY
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

Updated by the provider on Apr 28, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013000446 NY Practitioner - Nurse Practitioner 0547558264 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Oswego County Health Services, Inc. CurrentSince Jul 25, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.