MARYLOU PLANTE
NPI 1215304381
Dietitian, Registered in Syracuse, NY
About Marylou Plante NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYLOU PLANTE (NPI 1215304381) is an individual dietitian, registered in Syracuse, New York, licensed in New York (004484-1) and active in the NPI registry since August 2015.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marylou Plante is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marylou Plante reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 342 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13215
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 Marylou Plante's NPI number?
The NPI number for Marylou Plante is 1215304381. It was assigned to this individual provider in the NPPES registry on August 25, 2015.
Where is Marylou Plante located?
Marylou Plante practices at 4601 Nixon Park Dr, Syracuse, NY 13215. The listed phone number is (315) 449-6923.
What is Marylou Plante's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Marylou Plante enrolled in Medicare?
Yes. Marylou Plante is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marylou Plante's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marylou Plante reassigns Medicare benefits to State Of New York Comptrollers Office (Syracuse, 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 Marylou Plante'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 Marylou Plante was last updated on August 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Marylou Plante · NPI 1215304381
Dietitian, Registered provider in Syracuse, New York. Individual provider, active in the CMS NPPES registry since August 25, 2015.
## Identity
- **NPI:** 1215304381 (Entity type: Individual)
- **Enumerated:** August 25, 2015
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 004484-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4601 NIXON PARK DR, Syracuse, NY 13215-9759
- **Phone:** (315) 449-6923
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** State Of New York Comptrollers Office (NPI 1669512398, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 25, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1215304381) · Data from the CMS NPPES public registry.