Individual provider Active NPI

Marlene Ann Comfort, NP

  • Adult Health Nurse Practitioner
  • Penn Yan, NY
National Provider Identifier
1891412540
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
311002 Issued in NY
Practice address
Soldiers and Sailors Health Center
418 North Main Street
Penn Yan, NY 14527
Phone
(315) 536-0086
Fax
(315) 536-0658
NPI assigned
Oct 24, 2022
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 311002 NY Primary

Addresses

Primary practice location

Soldiers and Sailors Health Center
418 North Main Street
Penn Yan, NY 14527

Mailing address

3222 Delooza Rd
Penn Yan, NY 14527-9304
Phone (585) 698-7706

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
I20221214002977 NY Practitioner - Nurse Practitioner 7719356633 Reassigns benefits to 1 organization

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)

418 N Main St
Penn Yan, NY 14527-1070
Phone (315) 531-2000

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Soldiers & Sailors Memorial Hospital Past Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: m.comfort@flhmedical.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1891412540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 DELOOZA RD",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145279304",
            "telephone_number": "585-698-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SOLDIERS AND SAILORS HEALTH CENTER",
            "address_2": "418 NORTH MAIN STREET",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "14527",
            "telephone_number": "315-536-0086",
            "fax_number": "315-536-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMFORT",
        "first_name": "MARLENE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "311002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Yan, NY

Sources for this page

Verify at the official NPI Registry.