Individual provider Active NPI

Marion Gnadt, FNP-C

  • Family Nurse Practitioner
  • Vestal, NY
National Provider Identifier
1841608825
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F338776-1 Issued in NY
Practice address
200 Front St
Ste C
Vestal, NY 13850-1559
Phone
(607) 239-5694
Fax
(607) 239-5720
NPI assigned
Jul 23, 2014
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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 F338776-1 NY Primary

Addresses

Primary practice location

200 Front St
Ste C
Vestal, NY 13850-1559

Mailing address

200 Front St
Ste C
Vestal, NY 13850-1559
Phone (607) 239-5694

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
I20141008002146 NY Practitioner - Nurse Practitioner 1658591920 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F338776-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital CurrentSince Apr 30, 2018 Accepting new patients
FLH Medical, PC CurrentSince Apr 30, 2018 Accepting new patients
FLH Medical, PC CurrentSince Apr 30, 2018 Accepting new patients
Geneva General Hospital, Inc CurrentSince Apr 30, 2018 Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
Geneva General Hospital CurrentSince Apr 30, 2018 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Apr 30, 2018 Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

196 North St
Geneva, NY 14456
Phone (315) 787-4000

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

28 Cayuga St
Seneca Falls, NY 13148
Phone (315) 568-4415

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1841608825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FRONT ST",
            "address_2": "STE C",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501559",
            "telephone_number": "607-239-5694",
            "fax_number": "607-239-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FRONT ST",
            "address_2": "STE C",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501559",
            "telephone_number": "607-239-5694",
            "fax_number": "607-239-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNADT",
        "first_name": "MARION",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F338776-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.