Marilyn Anne Vondollen, RN,MS,NPP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400457-1 Issued in NY

Practice address

321 Broadway
Rensselaer, NY 12144-2602

Phone

(518) 453-2280

Fax

(518) 453-2282

NPI assigned

Nov 21, 2006

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marilyn Von Dollen NP in Psychiatry LLC

  • Community/Behavioral Health Agency
  • Albany, NY
  • NPI 1407038938

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Pine Bush Mental Health, LLP

  • Clinical Psychologist
  • Albany, NY
  • NPI 1962572362
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1801961669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BROADWAY",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121442602",
            "telephone_number": "518-453-2280",
            "fax_number": "518-453-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BROADWAY",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121442602",
            "telephone_number": "518-453-2280",
            "fax_number": "518-453-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDOLLEN",
        "first_name": "MARILYN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RN,MS,NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400457-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Verrelli
• Rosemarie A Viggiani, RN
• Maribel Villalba
• Lynn Voelker
• Megan Elizabeth Von Dollen, LMHC-D
• Dallas Wager
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1940)
• Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
• Erin M Walborn, AU.D.
• Diane E Waldron, LPN

• Psychiatric/Mental Health Nurse Practitioner in Rensselaer, NY
• Providers in Rensselaer, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.