Active NPI
Marisa Anne Letheby, MSN, FNP-C, FNP-BC
- Nurse Practitioner
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 346781
- Practice address
- 1161 Victory Blvd
Staten Island, NY 10301-3621 - Phone
- (718) 818-1162
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 346781 | NY | Primary |
Addresses
Primary practice location
1161 Victory Blvd
Staten Island, NY 10301-3621
Mailing address
PO Box 25213
Belfast, ME 04915-2003
Phone (718) 818-4531
Other names 1
- Marisa Anne Semioli
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1058 Forest Ave
Staten Island, NY 10310-2419
Phone (718) 818-1058
Hospital & facility affiliations
- Richmond University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.48 of 100
- Quality
- 82.91
- Promoting interoperability
- 5.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Amboy Medical Practice PC | Current | Accepting new patients | |
| Robert Laudicino MD PC | Past | Accepting new patients | |
| Island Nephrology Services, PC | Past | Accepting new patients |
Locations
4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015
1058 Forest Ave
Staten Island, NY 10310
Phone (718) 818-1058
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
1161 Victory Blvd
Staten Island, NY 10301
Phone (646) 417-0747
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- marisa.semioli.1@19656.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1700037975
-
- Diagnostic Radiology Physician
- Staten Island, NY
- NPI 1104692672
-
- Nephrology Physician
- Staten Island, NY
- NPI 1598753253
-
- Obstetrics & Gynecology Physician
- Staten Island, NY
- NPI 1811260672
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Staten Island, NY
- NPI 1740389154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1891398392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25213",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152003",
"telephone_number": "718-818-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1161 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013621",
"telephone_number": "718-818-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETHEBY",
"first_name": "MARISA",
"middle_name": "ANNE",
"credential": "MSN, FNP-C, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "346781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISA",
"last_name": "SEMIOLI",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.