Active NPI
Marion Satta-Gable Sarjo
- Family Nurse Practitioner
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704314670
- Practice address
- 770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602 - Phone
- (616) 272-3533
- Fax
- (616) 259-4839
- NPI assigned
- Dec 9, 2022
- Last updated
- Jul 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704314670 | MI | Primary |
Addresses
Primary practice location
770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602
Mailing address
801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-2008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Edison Ave NW
Christian Rest Home
Grand Rapids, MI 49504-3918
Phone (616) 453-2475
1010 Edison Ave NW
Edison Assisted Living Center
Grand Rapids, MI 49504-3918
Phone (616) 453-0581
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-1835
2121 Raybrook St SE
Holland Home Raybrook
Grand Rapids, MI 49546-5793
Phone (616) 235-5691
2589 44TH St SE
Holland Home Breton Manor
Kentwood, MI 49512-3877
Phone (616) 643-2512
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary's Medical Group | Current | Accepting new patients | |
| Saint Mary's Health Services | Current | Accepting new patients | |
| Northview Medical House Calls PLC | Current | Accepting new patients | |
| Advantage Health/Saint Mary's Medical Group | Current | Accepting new patients | |
| Careconnectmd Michigan PC | Current | Accepting new patients | |
| Northview Health Specialists, PLLC | Current | Accepting new patients | |
| Saint Mary's Health Services | Current | Accepting new patients | |
| Niapath Mobile LLC | Family | Current | Accepting new patients |
| Careline Hmi300 LLC | Current | Accepting new patients | |
| Careline Palliative Care LLC | Current | Accepting new patients | |
| Advantage Health Saint Mary's Medical Group | Current | Accepting new patients | |
| Premier Heart Associates, Inc | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208
1430 Monroe Ave NW
Ste 120
Grand Rapids, MI 49505
Phone (616) 685-8800
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
770 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 272-3533
801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008
4760 Fashion Square Blvd
Ste L1
Saginaw, MI 48604
Phone (989) 282-4003
Interoperability endpoints
- marion.sarjo.1@28492.direct.athenahealth.com
- msarjo29428@direct.trinity-health.org
Organizations & group practices 12
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Grand Rapids, MI
- NPI 1063917425
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
- Geriatric Medicine (Internal Medicine) Physician
- Dearborn, MI
- NPI 1477288348
-
dba Optimal Care Physician Services
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Jackson, MI
- NPI 1801367073
-
dba Optimal Care Physician Services
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1629558978
-
dba Careline Physician Services
- Family Medicine Physician
- Saginaw, MI
- NPI 1336447002
-
dba Trinity Health Medical Group Orthopedics Grand Rapids
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
-
dba Optimal Care Hospice
- Community Based Hospice Care Agency
- Grand Rapids, MI
- NPI 1770257818
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- Cardiovascular Disease Physician
- Beavercreek, OH
- NPI 1538188735
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1881305936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 ROSEHILL RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492021762",
"telephone_number": "517-212-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 KENMOOR AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468602",
"telephone_number": "616-272-3533",
"fax_number": "616-259-4839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARJO",
"first_name": "MARION",
"middle_name": "SATTA-GABLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704314670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.