Mary Bleszcz-Marmorato, FNP
Individual provider Active NPI Family Nurse Practitioner · Little River, SC
NPI 1811201411 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1811201411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 336441 (NY)
- Practice address
- 3600 Sea Mountain Hwy Ste B
Little River, SC 29566-8161 - Phone
- (843) 399-9696
- NPI assigned
- Aug 6, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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 Hospital
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
- Bassett Healthcare
- Aurelia Osborn Fox Memorial Hospital
- O'Connor Hospital
- Cobleskill Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110309000184 | NY | Practitioner - Nurse Practitioner | 5294917456 | Reassigns benefits to 3 organizations |
| I20220124000332 | SC | Practitioner - Nurse Practitioner | 5294917456 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current |
Accepting new patients | |
| Healogics Specialty Physicians of South Carolina, LLC | Current |
Accepting new patients | |
| Mary Imogene Bassett Hospital | Current |
Accepting new patients | |
| Healogics Specialty Physicians of South Carolina, LLC | Current |
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
- mbleszczmarmorato25739@directmcleodehealth.org
- mbleszczmarmorato6230@bassett.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 336441 | NY | Yes |
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
Other providers in Little River, SC
- George E Berley
- Scott Morris Berry
- BFG Compass Little River Propco IV, LLC
- David Scott Bjerken
- Eleanor Elise Bjerken
- Blue Skies Counseling and Family Services
- April L. Blue
- Hans Ernst Blunck
- Chris Boggs
- Jacob William Boyd
All providers in Little River, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.