1. Home
  2. Directory
  3. New York
  4. Buffalo
  5. Nurse Practitioner
  6. NPI Profile

MRS. SHANNON D MARZULLO ANP
NPI 1215250279
Nurse Practitioner - Adult Health in Buffalo, NY

Active since March 04, 2010PECOS Enrolled
50 LAKEFRONT BLVD, SUITE 130, BUFFALO, NY 14202(716) 849-8750(716) 849-8757 Get Directions Write a Review

NPPES record last updated: February 11, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Shannon D Marzullo Anp NPPES

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

MRS. SHANNON D MARZULLO ANP (NPI 1215250279) is an individual adult health provider in Buffalo, New York, licensed in New York (F305322-1) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215250279
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SHANNON D MARZULLOCredential: ANP
Location Address50 LAKEFRONT BLVD, SUITE 130Buffalo, NY 14202-4345
Mailing Address3332 Walden Ave, Ste 110Depew, NY 14043-2400 · (716) 849-8750 · Fax (716) 849-8757
Phone(716) 849-8750
Fax(716) 849-8757
Sole ProprietorNo
Enumeration DateMarch 4, 2010
Last NPPES UpdateFebruary 11, 2019
✔ NPI 1215250279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F305322-1
50 LAKEFRONT BLVD, Buffalo, NY 14202
Open in Google Maps ↗

Other Identifiers 1

Medicaid03600295NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon D Marzullo Anp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Marzullo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Choice Of New York Medical PC
10.0 mi
General Practice
3332 WALDEN AVE, SUITE 110
Depew, NY 14043
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
NPI 1720312754 (716) 668-7051

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14202 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KEIRA SIOBHAN MCCARTHY NP
Nurse Practitioner (Adult Health)
50 LAKEFRONT BLVD
BUFFALO, NY 14202
Erie County (716) 929-3225
RATNAKUMAR S NEWTON MD
Family Medicine
50 LAKEFRONT BLVD, SUITE 130
BUFFALO, NY 14202
Erie County (176) 849-8750
KATHERINE C GAINES M.D.
Internal Medicine (Gastroenterology)
50 LAKEFRONT BLVD, SUITE 130
BUFFALO, NY 14202
Erie County (716) 849-8750
YVONNE M GASCON FNP
Nurse Practitioner (Family)
50 LAKEFRONT BLVD, SUITE 130
BUFFALO, NY 14202
Erie County (716) 849-8750
CHERYL BRUNACCI MORROW MD
Internal Medicine
50 LAKEFRONT BLVD, SUITE 130
BUFFALO, NY 14202
Erie County (716) 849-8750
DR. STEVEN BUSLOVICH M.D.
Internal Medicine
50 LAKEFRONT BLVD, SUITE 130
BUFFALO, NY 14202
Erie County (716) 849-8750
DR. NIELS ULRICH GOTHGEN M.D.
Internal Medicine (Critical Care Medicine)
50 LAKEFRONT BLVD, SUITE 130
BUFFALO, NY 14202
Erie County (716) 849-8750
IPC HOSPITALIST SERVICES OF NEW YORK, P.C.
Hospitalist
50 LAKEFRONT BLVD, SUITE 130
BUFFALO, NY 14202
Erie County (716) 849-8750

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 Shannon Marzullo's NPI number?

The NPI number for Shannon Marzullo is 1215250279. It was assigned to this individual provider in the NPPES registry on March 4, 2010.

Where is Shannon Marzullo located?

Shannon Marzullo practices at 50 Lakefront Blvd Suite 130, Buffalo, NY 14202. The listed phone number is (716) 849-8750.

What is Shannon Marzullo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shannon Marzullo enrolled in Medicare?

Yes. Shannon Marzullo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Marzullo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Marzullo reassigns Medicare benefits to Family Choice Of New York Medical PC (Depew, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Marzullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Marzullo was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.