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MARLEY JANE FANNING
NPI 1093685059
Physician Assistant in New York, NY

Active since November 06, 2025PECOS EnrolledAccepts Medicare Assignment
1901 1ST AVE STE 12A19, NEW YORK, NY 10029(212) 423-6262 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marley Jane Fanning NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLEY JANE FANNING (NPI 1093685059) is an individual physician assistant in New York, New York, licensed in New York (034650) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with Metropolitan Hospital Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093685059
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARLEY JANE FANNING
Location Address1901 1ST AVE STE 12A19New York, NY 10029-7494
Mailing Address1112 Edgewater Club RdWilmington, NC 28411-9355 · (910) 777-3359
Phone(212) 423-6262
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1093685059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 034650
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1901 1ST AVE STE 12A19, New York, NY 10029
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marley Jane Fanning is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193207512
PECOS Enrollment IDI20260305000023
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Metropolitan Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330199
Location1901 First AvenueNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marley Fanning's NPI number?

The NPI number for Marley Fanning is 1093685059. It was assigned to this individual provider in the NPPES registry on November 6, 2025.

Where is Marley Fanning located?

Marley Fanning practices at 1901 1st Ave Ste 12a19, New York, NY 10029. The listed phone number is (212) 423-6262.

What is Marley Fanning's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Marley Fanning enrolled in Medicare?

Yes. Marley Fanning is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Marley Fanning affiliated with any hospitals?

According to CMS data, Marley Fanning is affiliated with Metropolitan Hospital Center.

When was this NPI record last updated?

The NPPES record for Marley Fanning was last updated on November 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.