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MARILYN F CONNER CANP
NPI 1316041528
Nurse Practitioner - Adult Health in Coram, NY

Active since September 08, 2006PECOS Enrolled
82 MIDDLE COUNTRY ROAD, THE ELSIE OWENS N BROOKHAVEN HEALTH CENTER AT CORAM, CORAM, NY 11727(631) 854-2301(631) 854-2104 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marilyn F Conner Canp NPPES

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

MARILYN F CONNER CANP (NPI 1316041528) is an individual adult health provider in Coram, New York, licensed in New York (F3007001) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316041528
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARILYN F CONNERCredential: CANP
Location Address82 MIDDLE COUNTRY ROAD, THE ELSIE OWENS N BROOKHAVEN HEALTH CENTER AT CORAMCoram, NY 11727
Mailing Address75 N Country Rd, John T Mather HospitalPort Jefferson, NY 11777-2119 · (631) 476-2715
Phone(631) 854-2301
Fax(631) 854-2104
Sole ProprietorNo
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJune 13, 2013
✔ NPI 1316041528 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 · F3007001
82 MIDDLE COUNTRY ROAD, Coram, NY 11727
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Other Identifiers 3

Medicare UPIN96N371
Medicaid01770245NY
Medicare UPINP13720

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marilyn F Conner Canp 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 Marilyn Conner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

John T. Mather Memorial Hospital
4.8 mi
Psychiatry
5505 NESCONSET HWY
Mount Sinai, NY 11766
  • Reassigned Medicare billing, New York enrollment
  • 232 clinicians in this Medicare group
NPI 1568774453 (631) 686-7689

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 11727 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

FRANCINE JACOBS MD
Pediatrics
82 MIDDLE COUNTRY ROAD, ELSIE OWENS NORTH BROOKHAVEN HEALTH CENTER
CORAM, NY 11727
Suffolk County (631) 854-2301

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 Marilyn Conner's NPI number?

The NPI number for Marilyn Conner is 1316041528. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Marilyn Conner located?

Marilyn Conner practices at 82 Middle Country Road The Elsie Owens N Brookhaven Health Center At Coram, Coram, NY 11727. The listed phone number is (631) 854-2301.

What is Marilyn Conner's specialty?

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

Is Marilyn Conner enrolled in Medicare?

Yes. Marilyn Conner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marilyn Conner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marilyn Conner reassigns Medicare benefits to John T. Mather Memorial Hospital (Mount Sinai, 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 Marilyn Conner'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 Marilyn Conner was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.