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MARIANNE VALENZUELA FNP
NPI 1538541925
Nurse Practitioner - Family in Binghamton, NY

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
94.18/100
CMS Quality Rating
27 PARK AVENUE, 5TH FLOOR, BINGHAMTON, NY 13903(607) 762-2251(607) 762-2269 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marianne Valenzuela Fnp NPPES

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

MARIANNE VALENZUELA FNP (NPI 1538541925) is an individual family provider in Binghamton, New York, licensed in New York (339806) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1538541925
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIANNE VALENZUELACredential: FNP
Location Address27 PARK AVENUE, 5TH FLOORBinghamton, NY 13903
Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 762-2251 · Fax (607) 762-2269
Phone(607) 762-2251
Fax(607) 762-2269
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 23, 2015
Last NPPES UpdateJuly 17, 2023
✔ NPI 1538541925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 339806
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 339806 (NY)
27 PARK AVENUE, Binghamton, NY 13903
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marianne Valenzuela Fnp 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 ID42526964
PECOS Enrollment IDI20150908002089
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 Reassignments

5

Medicare enrollment records show Marianne Valenzuela reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

United Health Services Hospitals, Inc.
2.9 mi
Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
NPI 1962463851 (607) 762-3027
United Medical Associates PC
3.8 mi
Clinic/Center
33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 528 clinicians in this Medicare group
NPI 1013972801 (607) 770-0025
St. Ann's Nursing Home Company, Inc
111 mi
Skilled Nursing Facility
920 CHERRY RIDGE BLVD
Webster, NY 14580
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Anns Nursing Home Company, Inc
  • 8 clinicians in this Medicare group
NPI 1740216050 (585) 697-6337
Strong Renal Group
113 mi
Nephrology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 60 clinicians in this Medicare group
NPI 1881641470 (585) 275-1554
St. Ann's Home For The Aged
114 mi
Skilled Nursing Facility
1500 PORTLAND AVENUE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Anns Home For The Aged
  • 14 clinicians in this Medicare group
NPI 1225067168 (585) 697-6337

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
80 services63 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
27 services26 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13903 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.47
Promoting Interoperability100
Improvement Activities40
Cost75.82

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 Marianne Valenzuela's NPI number?

The NPI number for Marianne Valenzuela is 1538541925. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Marianne Valenzuela located?

Marianne Valenzuela practices at 27 Park Avenue 5th Floor, Binghamton, NY 13903. The listed phone number is (607) 762-2251.

What is Marianne Valenzuela's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marianne Valenzuela enrolled in Medicare?

Yes. Marianne Valenzuela 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.

Which organizations bill Medicare for Marianne Valenzuela's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marianne Valenzuela reassigns Medicare benefits to 5 organizations: United Health Services Hospitals, Inc. (Johnson City, NY), United Medical Associates PC (Binghamton, NY), St. Ann's Nursing Home Company, Inc (Webster, NY), Strong Renal Group (Rochester, NY) and St. Ann's Home For The Aged (Rochester, NY). Each 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 Marianne Valenzuela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marianne Valenzuela affiliated with any hospitals?

According to CMS data, Marianne Valenzuela is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Marianne Valenzuela was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.