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

Q: 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.

Q: What is Shannon Marzullo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Marzullo was last updated on February 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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

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Other Identifiers 1

Medicaid03600295NY

Medicare Participation & PECOS CMS

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

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.

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.

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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