MARLEE ANNE FALLON PA-C
NPI 1578050480
Physician Assistant - Medical in Fayetteville, NY

Q: What is Marlee Fallon's NPI number?

The NPI number for Marlee Fallon is 1578050480. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Q: What is Marlee Fallon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Marlee Fallon was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 16, 2018PECOS Enrolled

4402 MEDICAL CENTER DR STE 402, FAYETTEVILLE, NY 13066(315) 663-0005 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2021, Dec 16, 2019, Apr 16, 2018 (3 updates tracked since 2018).

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About Marlee Anne Fallon Pa-c NPPES

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

MARLEE ANNE FALLON PA-C (NPI 1578050480) is an individual medical provider in Fayetteville, New York, licensed in New York (019993-1) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578050480

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARLEE ANNE FALLONCredential: PA-C

Location Address4402 MEDICAL CENTER DR STE 402Fayetteville, NY 13066-6626

Mailing Address4402 Medical Center Dr Ste 402Fayetteville, NY 13066-6626 · (315) 663-0005

Phone(315) 663-0005

Sole ProprietorNo

Enumeration DateApril 16, 2018

Last NPPES UpdateNovember 9, 20213 updates tracked since enumeration

NPPES CertifiedNovember 9, 2021

✔ NPI 1578050480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 019993-1

4402 MEDICAL CENTER DR STE 402, Fayetteville, NY 13066

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlee Anne Fallon Pa-c 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.

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 Marlee Fallon's NPI number?

The NPI number for Marlee Fallon is 1578050480. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Marlee Fallon located?

Marlee Fallon practices at 4402 Medical Center Dr Ste 402, Fayetteville, NY 13066. The listed phone number is (315) 663-0005.

What is Marlee Fallon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Marlee Fallon enrolled in Medicare?

Yes. Marlee Fallon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marlee Fallon was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.