Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Marcella K Antoniewicz, NP

Individual provider Adult Health Nurse Practitioner · NPI 1538551197

MS. Marcella K Antoniewicz, NP is a Nurse Practitioner in Albany, New York. Qualified in 2014, 12 years ago. Practices with Statline Medical PC, a 12-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2 Palisades Dr
Albany, NY 12205-1438
Phone: (518) 458-2000
Fax: (518) 458-1524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F307146-1 (NY)

Record details

NPI number1538551197
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 19, 2015
Last updated in NPPESMarch 17, 2017
Mailing addressPo Box 14890, Ste 200, Albany, NY 12212-4890

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Statline Medical Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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