MARISA ANNE LETHEBY MSN, FNP-C, FNP-BC
NPI 1891398392
Nurse Practitioner in Staten Island, NY

Active since November 17, 2020PECOS EnrolledAccepts Medicare Assignment
66.8/100
CMS Quality Rating
1161 VICTORY BLVD, STATEN ISLAND, NY 10301(718) 818-1162 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2024, Sep 19, 2024, Oct 18, 2021 and 1 more (4 updates tracked since 2020).

About Marisa Anne Letheby Msn, Fnp-c, Fnp-bc NPPES

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

MARISA ANNE LETHEBY MSN, FNP-C, FNP-BC (NPI 1891398392) is an individual nurse practitioner in Staten Island, New York, licensed in New York (346781) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Richmond University Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1891398392
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARISA ANNE LETHEBYCredential: MSN, FNP-C, FNP-BC
Location Address1161 VICTORY BLVDStaten Island, NY 10301-3621
Mailing AddressPo Box 25213Belfast, ME 04915-2003 · (718) 818-4531
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 17, 2020
Last NPPES UpdateOctober 16, 20244 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
NPI 1891398392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 346781
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1161 VICTORY BLVD, Staten Island, NY 10301

Other Names 1

Former Name (1)Marisa Anne Semioli

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marisa Anne Letheby Msn, Fnp-c, Fnp-bc 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 ID3072902352
PECOS Enrollment IDI20211106000112
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.

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
47 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services31 patients

Hospital Affiliations CMS Care Compare

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

Richmond University Medical Center

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330028
Location355 Bard AvenueStaten Island, NY 10310 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10301 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.

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.

66.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.27
Promoting Interoperability0.55
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Family Medicine
1161 VICTORY BLVD
STATEN ISLAND, NY 10301
Specialist/Technologist Cardiovascular (Cardiovascular Invasive Specialist)
1161 VICTORY BLVD
STATEN ISLAND, NY 10301
Surgery
1161 VICTORY BLVD
STATEN ISLAND, NY 10301
Nurse Practitioner
1161 VICTORY BLVD
STATEN ISLAND, NY 10301
Nurse Practitioner (Family)
1161 VICTORY BLVD
STATEN ISLAND, NY 10301
Internal Medicine (Cardiovascular Disease)
1161 VICTORY BLVD
STATEN ISLAND, NY 10301

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 Marisa Letheby's NPI number?

The NPI number for Marisa Letheby is 1891398392. It was assigned to this individual provider in the NPPES registry on November 17, 2020. The provider is also known as Marisa Anne Semioli.

Where is Marisa Letheby located?

Marisa Letheby practices at 1161 Victory Blvd, Staten Island, NY 10301. The listed phone number is (718) 818-1162.

What is Marisa Letheby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marisa Letheby enrolled in Medicare?

Yes. Marisa Letheby 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.

Is Marisa Letheby affiliated with any hospitals?

According to CMS data, Marisa Letheby is affiliated with Richmond University Medical Center.

When was this NPI record last updated?

The NPPES record for Marisa Letheby was last updated on October 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.