Individual provider Active NPI

Mary Bleszcz-Marmorato, FNP

  • Family Nurse Practitioner
  • Little River, SC
National Provider Identifier
1811201411
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336441 Issued in NY
Practice address
3600 Sea Mountain Hwy Ste B
Little River, SC 29566-8161
Phone
(843) 399-9696
NPI assigned
Aug 6, 2010
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 336441 NY Primary

Addresses

Primary practice location

3600 Sea Mountain Hwy Ste B
Little River, SC 29566-8161

Mailing address

3600 Sea Mountain Hwy Ste B
Little River, SC 29566-8161
Phone (843) 399-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 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
I20110309000184 NY Practitioner - Nurse Practitioner 5294917456 Reassigns benefits to 3 organizations
I20220124000332 SC Practitioner - Nurse Practitioner 5294917456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

1 Atwell Rd
Cooperstown, NY 13326-1394

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of South Carolina, LLC CurrentSince Aug 1, 2022 Accepting new patients
Healogics Specialty Physicians of South Carolina, LLC CurrentSince Aug 1, 2022 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 6, 2010 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 6, 2010 Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

321 E Albany St
Herkimer, NY 13350
Phone (315) 867-2700

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

Interoperability endpoints

  • Direct secure messaging: mbleszczmarmorato25739@directmcleodehealth.org
  • Direct secure messaging: mbleszczmarmorato6230@bassett.direct-ci.net

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811201411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 SEA MOUNTAIN HWY STE B",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668161",
            "telephone_number": "843-399-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 SEA MOUNTAIN HWY STE B",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668161",
            "telephone_number": "843-399-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLESZCZ-MARMORATO",
        "first_name": "MARY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little River, SC

Sources for this page

Verify at the official NPI Registry.