Individual provider Active NPI

Mara Anne Saunders, RN, NP

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1861772402
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
20615 Issued in CA
Practice address
64 Bleecker St # 151
New York, NY 10012-2410
Phone
(302) 313-1584
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5015498 NC
Registered Nurse 163W00000X 683207 CA
Adult Health Nurse Practitioner 363LA2200X 20615 CA Primary

Addresses

Primary practice location

64 Bleecker St # 151
New York, NY 10012-2410

Mailing address

64 Bleecker St # 151
New York, NY 10012-2410
Phone (302) 313-1584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, NM3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230810003555 NY Practitioner - Nurse Practitioner 2466611363 Reassigns benefits to 1 organization
I20230911004325 NC Practitioner - Nurse Practitioner 2466611363 Reassigns benefits to 1 organization
I20250603002008 NM Practitioner - Nurse Practitioner 2466611363 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20615CAMDSports Physician Chiropractor
683207CAMDRegistered Nurse
307273NYMDFamily Medicine Physician
5015498NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Galileo Medical Group NC PC CurrentSince Jul 28, 2023 Accepting new patients
Galileo Medical PC CurrentSince Jul 28, 2023 Accepting new patients
Galileo Medical Group, NM PC CurrentSince Mar 28, 2025 Accepting new patients

Locations

315 W 2nd St
Greenville, NC 27834
Phone (252) 507-0588

206 S Coronado Ave
Espanola, NM 87532
Phone (833) 807-8727

632 Broadway
Ph 12
New York, NY 10012
Phone (347) 294-3414

64 Bleecker St
New York, NY 10012
Phone (302) 313-1584

632 Broadway
New York, NY 10012
Phone (347) 762-7392

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mara.saunders@450368864321540.direct.elationemr.com

Organizations & group practices 3

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": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1861772402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BLEECKER ST # 151",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122410",
            "telephone_number": "302-313-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BLEECKER ST # 151",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122410",
            "telephone_number": "302-313-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "MARA",
        "middle_name": "ANNE",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5015498",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "683207",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "20615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.